Frequently Asked Questions

What does VitalEvaluators do?

VitalEvaluators provides independent medical and medical-economic evaluations based exclusively on the documentation submitted for review.
Our evaluations are non-binding and intended to support informed clinical and financial decision-making.

Do you provide medical advice or treatment recommendations?

No.
We do not provide medical advice, treatment recommendations, emergency care, or clinical services.
Our evaluations do not replace the judgment of treating healthcare professionals.

Who can request an evaluation?

Evaluations may be requested by:

• Patients
• Healthcare providers
• Insurers and      third-party administrators (TPAs)

What types of evaluations do you offer?

We offer different levels of evaluation, which vary in depth and analytical scope.
The appropriate level depends on the complexity of the case and the documentation available.

How do I choose the right evaluation level?

You select an evaluation level at submission based on your needs.
If the documentation supports a different evaluation scope, this will be communicated before proceeding.

What documentation is required?

All evaluations are document-based.
You should submit all relevant medical and billing documentation available at the time of request.

The quality, completeness, and legibility of the documentation directly affect the scope of the evaluation.

In which format should documents be submitted?

Documents should be submitted in PDF format.

Non-readable or poor-quality documents may limit the scope of the evaluation, even when submitted as PDFs.

Are your evaluations binding?

No.
All evaluations are non-binding and provided for informational and analytical purposes only.

Do you make coverage or payment determinations?

No.
VitalEvaluators does not make coverage, payment, or reimbursement determinations and does not act on behalf of payers or insurers.

How long does an evaluation take?

Turnaround time depends on:

• the evaluation level selected
• the complexity of the case
• the completeness of the documentation

Estimated timelines, when applicable, are communicated after submission.

Is my information kept confidential?

Yes.
All information submitted is handled confidentially and used solely for the purpose of performing the requested evaluation and related operational communications.

Does requesting an evaluation create a physician–patient relationship?

No.
Requesting or receiving an evaluation does not establish a physician–patient relationship.

Can an evaluation be declined?

Yes.
VitalEvaluators may decline or limit an evaluation if the documentation is insufficient, incomplete, or not suitable for review.

What happens after I submit a request?

After submission:

1. You receive a confirmation email
2. The documentation is reviewed within the selected scope
3. You receive a written, non-binding evaluation based on the information provided

How do I request an evaluation?

You can submit a request directly through the Request an Evaluation section of this website