At the conclusion of your treatment with a doctor, our Miami, Florida car and motorcycle accident lawyers will request a final narrative of your condition. Once a physician has decided you are at Maximum Medical Improvement (MMI), some doctor’s assign, and insurance company’s request, a permanent impairment rating. It does not mean that you are back to the physical or mental condition you were at prior to the accident. It simply means your condition has stabilized and you have a loss. This is generally done pursuant to American Medical Association (AMA) guidelines. A permanent impairment rating technically is not called for as a basis at trial in an automobile case, but many automobile insurance companies like to have the impairment rating so they can evaluate the case.