PDFWAC 296-23-358
What happens when there is no approved independent medical exam (IME) provider in the specialty needed available in a reasonably convenient location for the worker?
When there is no approved examiner in the worker's community or in a reasonably convenient location for the worker, the department or self-insurer may make alternate arrangements for the examination including, but not limited to:
(1) Considering whether a consultation might be a sufficient alternative;
(2) Using telemedicine where appropriate;
(3) Notifying the worker or their representative before scheduling the IME in the nearest location available. In this case:
(a) Travel must not exceed any travel restrictions imposed by the attending provider unless alternative methods of travel will overcome the travel limitations.
(b) The department or self-insured employer will assist the worker with travel accommodations when requested by the worker.
(c) Travel accommodations are paid by the department or self-insured employer as listed in the fee schedule.