An Independent medical exam is a one-time evaluation performed by a licensed doctor who has never treated you before. Its purpose is simple: to give an objective, third-party opinion on an injury or medical condition when that opinion matters for a legal, insurance, or benefits decision. In Tennessee, IMEs are a routine part of workers’ compensation claims, personal injury cases, veterans’ disability claims, and commercial driver medical certification.
At Accident & Wellness Care Center in Murfreesboro, Dr. Victor Poletajev, M.A., D.C., has performed independent evaluations for over 25 years and is recognized statewide as an expert witness, giving Middle Tennessee residents, attorneys, and case managers a credentialed, experienced examiner close to home.
Who Orders an Independent Medical Exam in Tennessee?
IMEs aren’t limited to one type of case. In Tennessee, four situations most commonly trigger a request:
| Case Type | Who Typically Requests It | What the Exam Determines |
|---|---|---|
| Workers’ Compensation Claim | Employer’s insurance carrier | Whether the injury is work-related, if treatment is appropriate, and whether maximum medical improvement (MMI) has been reached |
| Personal Injury / Car Accident Claim | Insurance company or defense attorney | Extent of injuries and whether ongoing treatment is medically necessary |
| Veterans’ C&P (Compensation and Pension) Exam | U.S. Department of Veterans Affairs | Connection (“nexus”) between a current condition and military service, for disability rating purposes |
| DOT / CDL Medical Certification | Trucking company, bus company, or driver directly | Whether a commercial driver meets federal physical fitness standards |
Dr. Poletajev has performed C&P-related evaluations for veterans for more than 30 years and is listed on the National Registry of Certified Medical Examiners (Registry #1955514978) for DOT and CDL exams.
What Happens During the Exam?
A typical IME at Accident & Wellness Care Center follows three steps:
| Step | What Happens | Typical Duration |
|---|---|---|
| 1. Records Review | Dr. Poletajev reviews prior medical records, imaging, and treatment history before you arrive | Completed before the visit |
| 2. Physical Evaluation | Assessment of range of motion, strength, reflexes, and functional ability related to the claimed injury | 30–60 minutes |
| 3. Written Report | A detailed, evidence-based report is prepared for the requesting party, insurance carrier, employer, attorney, or the VA, outlining findings, causation, and recommendations | Sent after the exam |
It’s important to remember an IME is evaluative, not a treatment visit. The examiner won’t prescribe medication or begin a care plan; the goal is an unbiased medical opinion that can hold up in a claim, hearing, or legal proceeding.
How to Prepare for Your IME
Bring a valid photo ID and any scheduling paperwork you received, and arrive with a clear, honest account of how the injury occurred and how your symptoms have progressed. Don’t minimize or exaggerate symptoms consistency with your existing medical records matters. It’s also worth asking your attorney or case manager beforehand whether there are specific documents you should bring and avoiding skipping or rescheduling last minute, since missing an IME can negatively affect your claim. Remember, too, that this isn’t a treatment visit, so don’t expect a prescription or care plan.

Why Choose Accident & Wellness Care Center
Tennessee attorneys, insurers, and veterans trust Dr. Poletajev’s evaluations because of his depth of experience: 37 years in practice, board-certified expert witness status (listed on JurisPro), and decades of hands-on work with workers’ compensation, personal injury, and VA disability cases. Located at 5107 Bryson Trail in Murfreesboro, the practice serves patients throughout Rutherford County, Nashville, and Smyrna.If your case requires an independent medical exam, a DOT physical, or a VA compensation and pension evaluation, contact Accident & Wellness Care Center to schedule with a Tennessee-based examiner.
Frequently Asked Questions
Q1. What is the difference between an IME and a regular doctor visit?
An IME is a one-time, objective evaluation by a doctor who has no prior treatment relationship with you, ordered by an insurer, employer, attorney, or the VA, and it results in a written report to that requesting party. A regular doctor visit, by contrast, is with your treating physician, who manages your ongoing care and can prescribe treatment directly.
Q2. Who pays for an independent medical exam in Tennessee?
The party requesting the exam, typically an insurance carrier, employer, or attorney, pays for the IME, not the patient.
Q3. Can I bring someone with me to an IME?
Policies vary by case type; check with your attorney or the requesting party beforehand, as some allow an observer while others don’t.
Q4. What if I disagree with the IME report?
You can request that your treating physician respond to the findings, submit additional medical evidence, or, in some cases, request a second opinion or dispute the report through the appropriate claims or workers’ compensation process.
Q5. Does Accident & Wellness Care Center perform VA C&P exams?
Yes. Dr. Poletajev has performed compensation and pension-related evaluations for veterans for over 30 years, including supporting documentation such as nexus letters.
Q6. Is a DOT physical the same as an IME?
Not exactly—a DOT physical certifies a commercial driver’s fitness to operate a vehicle under federal standards, while a general IME evaluates an injury or condition for a claim. Dr. Poletajev is certified to perform both.
