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3rd Pillar – File-based medical assessment

Medical file-based assessment Clarity from the file

Free initial consultation

File-based insurance medicine assessments, possible within 72 hours, with a personal video call – for insurers, occupational benefit institutions (including pension funds), legal services, HR and case management units as well as other cost bearers in Bern and across Switzerland.

72 h
for a manageable volume of files
Personal
with an exchange on the key aspects
Well-founded
medically at the latest state of knowledge
The challenge

Where the medical appraisal is missing today

Volume of files

Extensive medical files tie up resources.

Time

External medical assessments often take months.

Specialist expertise

Those commissioning an assessment need medical appraisal as an equal partner.

Rapid medical appraisal

Without a medical appraisal, it remains unclear how the case will proceed.

Focus areas

Four focal points of our assessments

Causality & plausibility check

Review of the medical causal links and of the plausibility of the information provided.

Medical liability & duty of care

Assessment of possible breaches of a physician's duty of care.

Disability & work capacity

Medical appraisal of degrees of disability and of work capacity.

Traceability of diagnosis & treatment

Systematic review of diagnostic and treatment decisions.

Specialist fields

Core competences and network

01

Psychiatry and psychotherapy

02

General and internal medicine

03

Surgical specialities

04

Ophthalmology

05

Plastic surgery

06

Dentistry

Further specialist fields will follow.

If we call in external specialist physicians for an assessment, we only do so with your consent. They are bound by the same professional secrecy as we are.

For assessments handled through our specialist network the 72-hour deadline does not apply; we will give you the date when we confirm the mandate.

Process

Four steps to the assessment

01

Mandate & appointment

Recording the mandate and scheduling – fast and lean.

02

Transmit files securely

End-to-end encrypted transmission of all documents.

03

Video call with your team

Certain nuances only emerge in conversation – which is why a direct video call with your team is a fixed part of the process.

04

Receive the report

A well-founded, medically traceable assessment as a basis for decisions.

Frequently asked questions

Frequently asked questions about the medical file-based assessment

Within 72 hours where the file is of manageable size – arranged individually depending on the size of the case.

There is no upper limit on the size of the file. However, files of more than 100 pages require more time – with very extensive documentation the 72-hour deadline may not always be met.

A broad spectrum from psychiatry through internal medicine to the surgical specialities — the full list is further up on this page. Assessments handled through our specialist network take longer than 72 hours; we will give you the date when we confirm the mandate.

No. Our medical file-based assessment is not a formal expert examination under IV standards and not an expert report under Art. 44 ATSG, but a medical appraisal based on the documents available. It is comprehensibly documented and usable in proceedings, but does not replace a court expert report or an IV expert report.

Daily sickness benefits, accident and private insurers, pension funds and occupational benefit institutions, legal services and legal expenses insurers, HR and case management units as well as other cost bearers and companies.

Take action

A basis for decisions instead of a pile of files

Send us the file in encrypted form. Where the scope is manageable you receive the assessment within 72 hours – including a video call in which we go through the decisive points with your team.