WCD WRME 440-4025: worker-requested medical exam after an IME denial: practical steps Work & Wages Oregon preparation and procedure guide Source review: 2026-10-18 Scope: Shared Oregon or applicable federal procedure; confirm local requirements WCD's May 2025 WRME guide gives examination eligibility, written request contents, insurer/agency responsibilities and scheduling steps after an IME-based claim denial. Who this route is for Workers whose insurer denied compensability based on an independent medical exam (IME), whose attending physician/authorized nurse practitioner disagreed, and who timely requested a WCB hearing on that denial. WCD determines WRME eligibility; it is not available merely because a worker wants another opinion. Timing and notices Read the actual notice and current official instructions promptly. Confirm any request, appeal, review or response date with the appropriate agency/insurer; this guide does not calculate a case deadline. Prepare (conditional documents may have alternatives) [ ] The WRME guide lists worker name/address; treatment-provider list; hearing-request date; copy of insurer denial; and treating-physician nonconcurrence documentation. Ask WCD how authorized-nurse-practitioner disagreement is documented in your case. [ ] Preparation suggestion: proof of the separate WCB hearing request and the IME/report communications. An attorney is not required merely to request WRME. How to proceed 1. Check the specific WRME conditions in 440-4025: IME-based compensability denial, treating clinician disagreement and a timely WCB hearing request. A new medical opinion request is not the denial appeal itself. 2. Send the written WRME request and listed information to WCD and the insurer under the current official instructions. Ask WCD to confirm receipt and eligibility; WCD selects the examining provider. 3. Follow the director's selection notice for scheduling and notices to insurer/WCB, then timely submit examination questions. Keep the appointment and records instructions; do not assume approval or schedule an unauthorized substitute exam. Open official instructions and request route: https://wcd.oregon.gov/Publications/4025.pdf Limits: The PDF is dated 5/25 and the linked worker page must be read with it. An attorney is not required to request a WRME, but eligibility and any exceptions must be confirmed. Follow the director's selection notice, scheduling/notification and question-submission instructions; no examination or claim acceptance is guaranteed. Publisher sources Worker-Requested Medical Exam https://wcd.oregon.gov/Publications/4025.pdf Evidence type: publisher-pdf SHA-256: 63325db621b7457780fe8bd7663b9d68762cb0a6cce2ec180eb632e9e5101880 Oregon Workers' Compensation Division : Independent and worker-requested medical examinations : Worker : State of Oregon https://wcd.oregon.gov/worker/Pages/ime-exams.aspx Evidence type: publisher-html-snapshot SHA-256: 6d69660bae8e5138a5fd7956a654bd907811dd80287803c6b7310bef88a57664 This site helps you prepare. It does not submit filings, calculate personal deadlines, decide eligibility or replace professional review. A complaint or help request does not pause another case or deadline. Start here Check the specific WRME conditions in 440-4025: IME-based compensability denial, treating clinician disagreement and a timely WCB hearing request. A new medical opinion request is not the denial appeal itself. Where and how to submit For a worker-requested medical examination (WRME), read publication 440-4025, preserve the separate WCB denial-hearing request, then send a written WRME request to WCD and the insurer with the listed worker/provider information, hearing-request date, denial letter and nonconcurrence documentation. Ask WCD which treating-clinician documentation applies in your case. https://wcd.oregon.gov/Publications/4025.pdf What will it cost? The WRME guide states the insurer/self-insured employer pays the authorized exam/report and reimburses qualifying related expenses such as travel, child care and lost net wages. Confirm authorization and documentation; this does not cover every privately arranged second opinion. After submission Track WCD's written selection notice and the separate scheduling/notification and question-submission steps. The guide describes 14-day steps at different stages; confirm which event starts each interval. Keep the resulting report and ask the treating provider/representative about next steps. Corrections, denials and appeals WRME does not substitute for the WCB denial-hearing request, and claim-closure reconsideration is different. If a request is incomplete or an appointment cannot be kept, contact WCD/insurer promptly; a missed exam does not automatically entitle you to a replacement. Language, disability and offline help Ask WCD and the selected examiner about interpretation, disability access and travel/expense arrangements before the exam. The guide lists Ombuds Office help at 800-927-1271 and Spanish line 800-843-8086; no attorney relationship is created. Additional workflow sources (reviewed 2026-10-18) Worker-Requested Medical Exam https://wcd.oregon.gov/Publications/4025.pdf SHA-256: 63325db621b7457780fe8bd7663b9d68762cb0a6cce2ec180eb632e9e5101880 Oregon Workers' Compensation Division : Independent and worker-requested medical examinations : Worker : State of Oregon https://wcd.oregon.gov/worker/Pages/ime-exams.aspx SHA-256: 6d69660bae8e5138a5fd7956a654bd907811dd80287803c6b7310bef88a57664