California workers’ compensation · Injured workers, attorneys & adjusters

QME & AME Evaluations

A Qualified Medical Evaluator (QME) is a physician certified by the California Division of Workers’ Compensation (DWC) Medical Unit to evaluate an injured worker when a workers’ compensation claim involves a medical dispute. An Agreed Medical Evaluator (AME) is a physician that applicant and defense attorneys choose together in a represented case instead of using a state QME panel. Sound Medical Evaluators schedules QME, AME and IME evaluations with a growing network of physicians statewide, across Southern and Northern California.

  • Panel QME, AME and IME evaluations, supplemental reports and depositions
  • Request online, by phone or by email, and upload the panel letter and demographics with your request
  • Live staff from 8 AM to 5 PM PT for scheduling and case questions

Prefer to talk now? Call (916) 461-9602

Contact us

Request an Evaluation

Send us the case details and our scheduling team will confirm a physician, date and location. Live staff are available 8 AM to 5 PM PT.

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  • QME, AME & IMEpanel, agreed and independent evaluations
  • Statewide across CaliforniaSouthern and Northern California
  • Live staff 8 AM to 5 PM PTscheduling and case questions
  • Deposition supportphysicians available to testify on their reports
Definitions

QME vs AME: what is the difference?

Both are medical-legal evaluations in California workers’ compensation. The difference is how the evaluator is chosen.

What is a QME?

A Qualified Medical Evaluator (QME) is a physician certified by the Division of Workers’ Compensation (DWC) Medical Unit in California to conduct medical evaluations related to workers’ compensation claims. QMEs assess the nature, extent and cause of work-related injuries or illnesses, providing objective medical opinions that help resolve disputes between injured workers and employers or insurance carriers.

What’s an AME?

An Agreed Medical Evaluator (AME) is a physician that both the applicant and defense attorneys choose together in a represented case, instead of picking from the state QME panel. Same expertise and the same thorough report. About AME evaluations

QME and AME at a glance
QuestionQMEAME
How is the evaluator chosen?From a panel of three QMEs randomly selected by the DWC Medical Unit (8 CCR §30)Applicant and defense attorneys agree on the physician
Which cases?Represented and unrepresented casesRepresented cases
Report deadline30 days after the evaluation, with limited extensions (8 CCR §38)30 days after the evaluation, with limited extensions (8 CCR §38)
OpinionImpartial medical opinionImpartial medical opinion

Sources: DWC regulations 8 CCR §30 (QME panel requests) and 8 CCR §38 (evaluation time frames).

Services

Evaluations and medical-legal services

We schedule medical-legal evaluations and coordinate the appointment, the records and the report, so injured workers, attorneys and claims professionals know what happens next.

Qualified Medical Evaluations (QME)

Panel QME evaluations for represented and unrepresented workers’ compensation cases, addressing disputed medical issues such as causation, impairment, work restrictions and future medical care.

Agreed Medical Evaluations (AME)

Evaluations by a physician that applicant and defense counsel have agreed on, for represented cases where both sides prefer a mutually selected evaluator. About AME evaluations

Independent Medical Evaluations (IME)

Objective, evidence-based assessments with impartial findings, clear documentation and compliance with California regulations. About IME evaluations

Thorough medical records review

Analysis of complete medical histories, treatment timelines and documentation to support clear conclusions and compliant medical-legal reports.

Comprehensive medical reports

Clear, well-structured findings that summarize the evaluation, the medical records and the conclusions in a format that supports informed decisions by judges, attorneys and all parties.

Supplemental reports and depositions

Supplemental reports to address new records or follow-up questions, and deposition testimony from the evaluating physician, requested through the same process.

Who we work with

For injured workers, attorneys and adjusters

Every evaluation is performed independently, and reports are written to be neutral regardless of which party requested the exam.

Injured workers

If your QME panel or appointment lists one of our physicians, call (916) 461-9602 or email admin@soundmedeval.com with your claim number. We offer flexible scheduling, and live staff answer scheduling questions from 8 AM to 5 PM PT.

Applicant and defense attorneys

We schedule evaluations for applicant and defense attorneys, coordinate records and deposition dates, and keep every party informed. Information for attorneys

Adjusters, employers and TPAs

Claims administrators, employers and third-party administrators can request QME, AME and IME evaluations, supplemental reports and depositions online, by phone or by email.

How to request

How to request a QME or AME evaluation

Requesting an evaluation takes four steps. You can use the online request form, call or email.

  1. 1Gather the detailsEvaluation type (QME, panel QME, AME, IME or deposition), claim number, panel number for a panel QME, and whether the worker is represented or needs an interpreter.
  2. 2Submit your requestUse the online request form, where you can upload the panel letter and demographics, or call or email our office.
  3. 3Confirm the appointmentOur staff confirm the physician, date and location with the requesting party and coordinate the records needed for the evaluation.
  4. 4Exam and reportThe physician examines the injured worker, reviews the records and serves the report. Supplemental reports and depositions can be requested the same way.
Our QME process

What happens at a QME or AME evaluation

Each step is handled with clinical accuracy, regulatory compliance and clear communication from start to finish.

Appointment scheduling

Flexible scheduling to accommodate injured workers and other parties.

Comprehensive examination

The physician performs a detailed examination and reviews the medical records for a thorough understanding of the case.

Detailed reporting

A clear, comprehensive report with the relevant medical findings and opinions, served within DWC time frames.

Legal submission and support

The physician serves the report and provides supplemental reports or deposition testimony to explain and defend the findings.

California coverage

Where we schedule evaluations

Sound Medical Evaluators schedules QME, AME and IME evaluations all across California. Coverage is statewide: we schedule across Southern and Northern California.

Statewide across California

Evaluations are available at office locations throughout California, in both Southern and Northern California.

Matched to the injured worker

Tell us where the injured worker lives or works and the preferred area for the exam, and our scheduling team will match the request to an available physician and location.

Physicians

Meet some of our QME and AME physicians

Each physician below takes both QME and AME cases. They are part of a growing network of physicians across many specialties. Browse all physicians by specialty.

Dr. David Lee, pain medicine and anesthesiology QME and AME physician

Dr. David Lee

Pain Medicine & Anesthesiology View biography Request exam
Dr. Javier Duran, family medicine QME and AME physician

Dr. Javier Duran

Family Medicine View biography Request exam
Dr. Alison Kang, dermatology QME and AME physician

Dr. Alison Kang

Dermatology View biography Request exam
Dr. Chris Rapoff, chiropractic QME and AME evaluator

Dr. Chris Rapoff

Chiropractic View biography Request exam
FAQ

QME and AME FAQ for California workers’ compensation

What is a QME in California?

A Qualified Medical Evaluator (QME) is a physician certified by the Division of Workers’ Compensation (DWC) Medical Unit in California to conduct medical evaluations related to workers’ compensation claims. A QME assesses the nature, extent and cause of a work-related injury or illness and gives an objective medical opinion that helps resolve disputes between injured workers and employers or insurance carriers.

What is the difference between a QME and an AME?

An Agreed Medical Evaluator (AME) is a physician that applicant and defense attorneys agree on, so AMEs are used in represented cases. A QME is selected from a panel of three physicians issued by the DWC Medical Unit when the parties do not agree on an evaluator. QMEs are certified by the DWC Medical Unit, and both AMEs and QMEs are expected to give impartial medical opinions.

How is a QME chosen from a panel?

Under 8 CCR §30, the DWC Medical Unit issues a panel of three QMEs randomly selected from the requested specialty. An unrepresented worker or the claims administrator requests the panel on QME Form 105. In a represented case, the panel is requested online, and within 10 days of service of the panel each party may strike one name.

How do I request an evaluation with Sound Medical Evaluators?

Submit the online request form, call (916) 461-9602 or email admin@soundmedeval.com. Include the evaluation type, claim number, panel number for a panel QME, the evaluating physician if known, the preferred exam location and any interpreter needs. You can upload the panel letter and demographics with the form.

What happens during a QME evaluation?

The physician reviews the injured worker’s medical history, current condition and treatment timeline, examines the injured worker, assesses functional limitations and evaluates whether the injury is work-related. The physician then prepares a report that addresses the disputed issues, such as causation, impairment, work restrictions and future medical care.

How long does it take to receive the QME or AME report?

Under 8 CCR §38, an initial or follow-up comprehensive medical-legal evaluation report must be prepared and submitted within 30 days after the QME, Agreed Panel QME or AME has seen the employee or otherwise started the evaluation. The DWC Medical Director may approve an extension of up to 30 more days only in limited situations.

Are the physicians available for depositions?

Yes. Evaluating physicians are available for deposition testimony about their reports. Select “Deposition” on the request form or contact our office, and we will coordinate a date with the physician and the parties.

Do you work with both applicant and defense attorneys?

Yes. We schedule evaluations for applicant attorneys, defense attorneys, employers, adjusters and third-party administrators. Every evaluation is performed independently, and reports are written to be neutral regardless of which party requested the exam.

Next step

Need a QME or AME evaluation?

Our team guides you through every step of the process, from the request to the final report. Contact us today to schedule an evaluation.

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QME panel and report-timing information summarizes California DWC regulations (8 CCR §30 and §38) and is general information, not legal advice. Physician availability varies by specialty and location.

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