Medical-Legal Evaluation (MLE)
Legal basis: LC §4060
Definition
A comprehensive medical examination and report performed by a QME or AME to resolve disputed medical issues in a workers' compensation claim. The evaluation addresses causation, diagnosis, treatment, permanent impairment, apportionment, and work restrictions based on a review of medical records and physical examination.
Key Facts About MLE in 2026
QME Physicians in CA
~2,500
Evaluation Fee Range
$2,500-$4,000
Report Deadline
30 days
Avg AI-Assisted Turnaround
14 days
Related Terms
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Browse MLE Physicians →Frequently Asked Questions
What is a Medical-Legal Evaluation (MLE)?
A comprehensive medical examination and report performed by a QME or AME to resolve disputed medical issues in a workers' compensation claim. The evaluation addresses causation, diagnosis, treatment, permanent impairment, apportionment, and work restrictions based on a review of medical records and physical examination.
What is the legal basis for MLE in California workers' compensation?
Medical-Legal Evaluation is governed by LC §4060 under California workers' compensation law. This statute defines the requirements, procedures, and standards for medical-legal evaluation in the workers' compensation system as of 2026.
How much does a MLE evaluation cost in California?
Medical-Legal Evaluation evaluation fees vary depending on the complexity of the case and the physician's specialty. Under California's Official Medical Fee Schedule (OMFS), medical-legal evaluation rates are updated annually. For current 2026 rates, consult the DWC fee schedule or contact IMEPro for guidance.