What should an injured worker do if they disagree with a medical evaluation conducted by a QME?

When an injured worker disagrees with a medical evaluation conducted by a Qualified Medical Evaluator (QME), the appropriate course of action is to request a second evaluation, often referred to as a “panel QME.” In California’s workers’ compensation system, if a party contests the findings of a QME, they can seek a second opinion by selecting another QME from a list provided by the state, which ensures that the second evaluation is impartial and based on a broader scope of expertise.

This process is important because it provides an avenue for the injured worker to obtain a different assessment without having to fully accept the original evaluation. The second QME can either confirm or contradict the first evaluation, offering more clarity on the worker's condition and needs. Empowering workers with the option to seek a second opinion aligns with principles of fairness and thoroughness in medical assessments within the workers’ compensation framework.

In contrast, accepting the evaluation without question does not address the worker's concerns and could lead to unfavorable outcomes regarding their claim. Filing a complaint with the employer may not directly resolve issues related to the QME's findings and can complicate the claims process. Seeking advice from a private physician might provide the worker with additional information, but it does not carry the same