Frequently asked questions (FAQ)​

General questions

What is Simplexam?

Simplexam is an end-to-end software for Qualified Medical Evaluators (QME) and Independent Medical Evaluators (IME). It is designed to streamline medical-legal evaluations, automate claim management for independent medical evaluators, and optimize medical-legal practice management. Our platform helps QMEs and Independent Medical Evaluators (IMEs) manage panel assignments, report writing, billing, scheduling, and compliance—all in one intuitive system.

Who is Simplexam designed for?​

Simplexam is built for:​

  • Qualified Medical Evaluators (QMEs) and Agreed Medical Evaluators (AMEs) who need a practice management software to streamline evaluations, panel assignments, and compliance.
  • Independent Medical Evaluators (IMEs) conducting third-party medical evaluations including testimony for expert witness, personal injury, medical peer review, and impairment ratings. 
  • Medical Legal Management Companies that coordinate evaluations, manage multiple examiners, handle billing, collections, and ensure regulatory compliance across cases.
  • Administrators, office managers, and entrepreneurs looking to start or scale a medical-legal practice, offering the tools needed to efficiently manage scheduling, billing, compliance, and panel assignments.

How does Simplexam improve my QME / IME practice?​

With Simplexam, Evaluators can:

  • Ensure compliance with QME and IME regulations
  • Manage claim disputes & billing seamlessly
  • Access office space leasing services tailored for medical-legal exams
  • Track and manage deadlines automatically with built-in deadline management
  • Create, populate, and automatically submit required DWC forms, such as: 
    • QME 110 – Notice of options following disability rating
    • QME 122 – AME or QME declaration of service of medical - legal report
    • QME 123 – QME or AME conflict of interest disclosure form and objection or waiver
    • QME 120 – Voluntary directive for alternate service of medical-legal evaluation report on disputed injury to psyche
  • Use a built-in penalty and interest calculator to protect revenue from late payments
  • Stay current with billing code compliance
  • Select from numerous vendors for Record Summary, Transcription, History, and Collections —all within the Simplexam platform

Does Simplexam Offer Vendor Services?​

Yes! Simplexam connects QMEs, IMEs, and medical-legal professionals with a trusted ecosystem of preferred vendors, ensuring seamless access to essential services like record summarization, transcription, medical-legal history collection, and billing & collections—all within the platform.

Seamless Vendor Integration
Through direct integrations with leading QME service providers, Simplexam eliminates the need for time-consuming back-and-forth communication, allowing users to quickly request and receive services from pre-vetted, high-quality vendors at competitive rates.

Comprehensive Vendor Offerings
Simplexam’s vendor network includes:

  • Record Summarization – Organize and analyze medical records efficiently
  • Transcription Services – Convert dictated notes into clear, structured reports
  • Medical-Legal History Retrieval – Ensure comprehensive case reviews with streamlined history collection
  • Billing & Collections – Manage invoicing and collections effortlessly with e-billing integrations and IBR support

By leveraging Simplexam’s preferred vendor partnerships, QMEs can enhance efficiency, reduce administrative burdens, and focus on delivering high-quality medical-legal evaluations.

QME Practice Management & Claim Handling

How does Simplexam help with claim management for Independent Medical Evaluations (IMEs) and QMEs?​

Simplexam is a claim management software for independent medical evaluations, helping users:

  • Admins and managers can customize user roles based on specific team functions and assign work to specific users
  • Seamlessly connect with vendor services for Record Summary, Transcription, History, and Collections.
  • Instantly send e-bills via multiple EDI Clearinghouses
  • Auto-populate Division of Workers' Compensation (DWC) forms 
  • Ensure timely claim submission for maximum reimbursement

Can Simplexam help me manage multiple office locations?​

Yes! Simplexam provides:

  • QME office location consulting to help you select high-volume areas
  • A proprietary office leasing network tailored for Qualified Medical Evaluators
  • A soon-to-launch self-serve location selection tool for Simplexam subscribers

Billing & Compliance

How does Simplexam assist with QME billing & collections?​

Our QME billing software ensures:

  • Streamlined invoicing & collections for medical-legal services
  • Independent Bill Review (IBR)and Second Bill Review (SBR) support to dispute underpaid claims
  • Streamlined compliance with DWC medical-legal billing regulations

Does Simplexam help me stay compliant with DWC regulations?​

Yes! Our platform ensures QME compliance by:

  • Tracking reporting deadlines and ensuring timely submissions
  • Alerting you to rule changes from the Division of Workers’ Compensation (DWC)
  • Providing built-in templates for compliant QME reports

Getting Started with Simplexam

How do I sign up for Simplexam?​

Getting started is easy! Schedule a demo and learn how Simplexam can streamline your QME or IME practice.

Have an expert assess your medical-legal practice’s needs.

Schedule a Demo