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What is a QME?
A Qualified Medical Evaluator (QME) is a physician certified by the California DWC to evaluate medical disputes in workers’ compensation cases.
- What is a QME?
- A Qualified Medical Evaluator (QME) is a physician certified by the California Division of Workers’ Compensation to evaluate medical disputes in workers’ compensation cases. QMEs may address whether an injury is work-related, permanent disability, work restrictions, future medical care, and other disputed medical issues.
When a QME usually comes up
A QME evaluation is common when the treating doctor and the claims administrator disagree, or when the insurer denies the claim on medical grounds. See the difference between a QME and an AME.
Disclaimer
This page is general education about California workers’ compensation—not legal advice. Your facts, dates, and medical reports control. Workplace Rights Advocacy focuses on civil employment claims. Benefit and medical disputes inside the workers’ compensation system are often best handled by a workers’ compensation attorney. If an employer is forcing you out, denying accommodations, or retaliating around a work injury, that may be an employment case we can evaluate.
Related: What is an AME? · What is the difference between a QME and an AME? · How is my PD percentage determined? · What happens if the insurance company denies my claim? · Legal FAQs · Disability Accommodation · Retaliation Claims