In challenging an Agreed Medical Examiner's findings, which approach directly communicates with the medical examiner and includes counsel?

• A. Request another Agreed Medical Examiner
• B. Request a Qualified Medical Examiner
• C. Object to the report in writing
• D. Send a letter to the Agreed Medical examiner requesting a clarification with a copy to the attorney for the injured employee

Answer: (D)

Direct, formal communication with the Agreed Medical Examiner that includes the employee’s counsel is the clearest way to address ambiguities in the AME’s findings. By sending a letter to the AME requesting clarification and copying the injured employee’s attorney, you achieve several important goals at once.

First, it brings specific questions or points of uncertainty directly to the physician in a written, traceable form. This gives the AME a focused opportunity to revisit, explain, or revise particular conclusions, which can lead to a more accurate and complete medical narrative.

Second, including counsel ensures that the request is framed and pursued within proper legal procedure. The attorney can ensure the questions are legally appropriate, help identify relevant standards, and preserve a record of communications for any future hearings or reviews.

Third, this approach creates a formal record that supports transparency and due process. It demonstrates a structured effort to resolve concerns without prematurely moving to change physicians or escalate the matter.

Compared with other routes, such as simply objecting to the report in writing or seeking a different AME, this method directly engages the existing AME, invites clarification, and involves legal representation to guard rights, all while maintaining an orderly, documented process.