Request an Evaluation

Submit a request for an independent medical and medical-economic evaluation by selecting the button below.

All evaluations are document-based and non-binding, and are performed within a clearly defined scope based on the information provided.

How this process works

1. You submit your request and upload the available documentation
2. We review the documentation to confirm completeness and the appropriate evaluation scope
3. If a scope adjustment is indicated, you will be contacted before proceeding
4. Once the scope is confirmed, the evaluation begins
5. You receive a written, non-binding evaluation based on the documentation provided

Documentation

Please upload all relevant medical and billing documentation in PDF format.

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

Scope considerations

The selected evaluation level reflects the intended depth of review.
Final scope confirmation is based on the documentation submitted.

If the documentation supports a different evaluation scope, this will be communicated prior to initiating the evaluation.

Important notes

• This service does not provide medical advice, treatment recommendations, or emergency care
• No coverage  payment, or reimbursement determinations are made
• Requesting an evaluation does not establish a physician–patient relationship

After submission

After submitting your request, you will receive a confirmation email outlining next steps.