An IMR is an Independent Medical Review.

  • An IMR a medical document review or a file review performed by an independent physician or a non-treating physician at the request of a 3rd party.

An IMR is only a Medical Document Review.

  • An IMR involves a review of provided medical documents such as clinical notes from primary care providers, specialist consultations, diagnostic imaging, special investigations and treatments.

  • There is no contact between the reviewing physician and the individual whose medical documentation is being reviewed.

  • There is no obligation on the physician to clinically evaluate the individual whose documentation is being reviewed.

  • The physician’s only obligation is to provide an opinion to the 3rd party that requested the medical document review.

  • The requesting 3rd party provides factual material and medical information about the person whose documents are to be reviewed.

  • The reviewing physician answers specific questions asked by the 3rd party.

The purpose of the IMR is to:

  • provide an opinion on a diagnosis, investigations done, treatments received, adverse events or complications experienced by an individual.

The IMR is valuable as:

  • a first step in the early stages of a medical legal case where there is uncertainty regarding the diagnosis, work-up and treatments received by a claimant.

  • a cost effective way to determine the strength of a case.

  • to determine if “standard of care” was met. 

  • to determine if it is worth proceeding with a more comprehensive file review and or clinical consultation.

  • to determine the need for a full IME

Types of IMR's

  1. Basic IMR

  2. Comprehensive IMR