your workers' compensation claim has been denied by the insurance
company based on an independent medical examination (IME), and your
doctor (attending physician) disagrees with the IME results, you
may be eligible to request a medical examination by a doctor chosen
by the Workers' Compensation Division. You may ask the director
to decide if you are eligible for an exam. OAR
When you submit a request for an exam, your request must include:
statement that you are requesting a worker requested medical examination.
and addresses of physicians who have provided medical services to
you on this claim or who have provided medical services to you related
to the claimed condition.
copy of the hearing request showing the date the request for hearing
copy of the letter denying your workers' compensation claim based
in part on an insurer medical exam (IME).
document that shows your attending physician did not concur with the
the request to:
PO Box 14480
Salem OR 97309-0405