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.