An Independent Medical Examination (IME) occurs when a physician who has no doctor/patient relationship and has not previously been involved in a person's care examines an individual to determine the cause, extent and medical treatment of a work-related or other injury where liability is at issue. The physician also determines whether the individual has reached maximum benefit from treatment already received, if any additional treatment is necessary and whether a permanent impairment remains after treatment. An IME may be conducted at the request of a workers' compensation insurance carrier, auto insurance carrier or self-insured employer.