Brigham and Associates

What Brigham and Associates does

Brigham and Associates, Inc. is a privately held, founder-led medicolegal professional services firm specializing in impairment and disability evaluation under the AMA Guides to the Evaluation of Permanent Impairment. Founded and led by Christopher R. Brigham, MD, the firm delivers impairment reviews, impairment analysis, causation analysis, expert witness testimony, cross-examination consultation, and work ability evaluations to attorneys (defense and plaintiff), insurers, claims organizations, employers, government agencies, and healthcare providers across all 50 US states and internationally (Canada, Australia, Hong Kong, Italy). The firm cites 50,000+ cases reviewed and 275+ peer-reviewed publications by its founder, who serves as Senior Contributing Editor of the AMA Guides Sixth Edition and Editor of the Guides Newsletter.

The firm's core technology stack combines human physician expertise with AI-enabled tooling. Its SmartMedHx.AI / SmartHistory.AI platform automates medical history collection through AI-led examinee interviews, generating structured medical history reports within seconds. Its AI Report Screening Tool, priced at $247 per report, uses machine analysis supported by a proprietary medicolegal knowledge base combined with human expert review to deliver critique within 24-48 hours. The firm also maintains web-based training and resource platforms (amaguides.com, emedicolegal.com, fifthedition.com, sixththedition.com), a credentialing product (certifiedrater.com), and a 21-point red flags checklist for identifying erroneous impairment ratings.

The business model blends professional services with emerging productized AI and training revenue. Core evaluation services are delivered on a quote-based, per-case basis with a complimentary preliminary review. The AI Report Screening Tool uses published unit pricing, while training courses use freemium/promotional pricing with periodic free access windows. Distribution is primarily direct-to-professional via an online referral portal, with secondary demand generation through conference speaking, webinars, and content marketing. In May 2026, WorkCompCollege.com acquired the firm's AMA Guides training digital assets (AMAGuides.com, Impairment.com, CertifiedRater.com), with Dr. Brigham continuing to operate under the Brigham and Associates brand.

Name

Brigham and Associates

Legal name

Brigham & Associates, Inc.

Website

https://cbrigham.com

Company type

Private

Operating status

Operating

Headcount range

11–50 employees

Short description

Brigham and Associates is a founder-led medicolegal firm providing physician-delivered impairment evaluations, expert witness services, and AI-enabled medical history and report screening tools to attorneys, insurers, and government agencies across the US and select international markets.

Ownership category

akta.pro rank

Product category

Medicolegal Consulting Services

NAICS

Offices of All Other Miscellaneous Health Practitioners (621399)

SIC

Services-Misc Health & Allied Services, Nec (8090), Services-Health Services (8000)

akta.pro primary industry

Disability & Leave Administration (STD/LTD/FMLA/Paid Leave) (HLAEALAM)

akta.pro secondary industry

Occupational Health & Worksite Health Virtual Care (fit-for-duty, RTW) (HLALADAM)

Keywords

• Impairment evaluation services
• Medicolegal consulting
• AMA Guides training
• Expert witness services
• Workers compensation review

Headquarters

HQ city

Kailua

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Others

Revenue model

1. Professional Evaluation Services: Revenue generated from impairment reviews, impairment analysis, causation analysis, expert witness services, and cross-examination consultation. Services are quote-based with a preliminary review at no charge, followed by a quoted fee for complete analysis and report.
2. Report Screening Services: AI-enhanced report screening service with human expert review. Currently priced at $247 per report (with processing fees bringing total to $254.69). Previously priced at $297, future pricing planned at $195 per report.
3. Training and Certification Programs: Revenue from AMA Guides mastery training courses and certification programs offered through amaguides.com and certifiedrater.com platforms.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels5 records

Core offering

Brigham and Associates provides physician-led medicolegal impairment evaluation and review services for workers' compensation, personal injury, automobile casualty, long-term disability, and federal claims (Defense Base Act, Longshore and Harbor Workers' Act). The firm delivers impairment reviews, impairment analysis, causation analysis, expert witness testimony, and cross-examination consultation, complemented by AI-enhanced tools for medical history collection and report screening, plus AMA Guides training and certification programs.

Product overview

Brigham and Associates operates as a multi-product medicolegal services firm offering a platform of expert consultation services and digital products. The core offering consists of physician-led impairment evaluation services including impairment reviews, impairment analysis, causation analysis, expert witness testimony, and cross-examination consultation for workers' compensation and related legal cases. These services are delivered by board-certified physicians with direct involvement in AMA Guides editorial processes. Supporting the core services is a suite of digital products: SmartHistory.AI (AI-powered medical history collection), amaguides.com (AMA Guides mastery training), emedicolegal.com (technology and AI training), impairment.com (impairment resources), fifthedition.com and sixththedition.com (IME tools/templates), certifiedrater.com (impairment certification), and an AI Report Screening Tool combining machine analysis with expert review. The company recently had its AMA training assets acquired by WorkCompCollege.com.

Differentiator

Problem solved

Functional benefit

Brands

• AMAGuides.com: Online game-changing training of AMA Guides, Fifth and Sixth Editions – Mastery training courses
• SmartMedHx.AI
• eMedicoLegal.com
• Impairment.com
• CertifiedRater.com
• FifthEdition.com
• SixthEdition.com

Products and services

• Impairment Reviews Expert review of impairment rating reports to determine accuracy and correctness, conducted by board-certified physicians with expertise in the AMA Guides. Used by attorneys, insurers, and claims professionals to identify and challenge erroneous assessments.
• Impairment Analysis Impartial expert impairment rating analysis based on medical record review, providing assessment of maximal medical improvement and permanent impairment ratings for workers' compensation and related cases.
• Causation Analysis Assessment of causation and apportionment by applying science and current medical knowledge to determine whether problems are causally related to a workplace or other injury, used in litigation and claims disputes.
• Expert Witness Services Expert witness testimony and consulting services for legal, claims, and governmental proceedings in workers' compensation and related arenas, including telephonic, video, and in-person deposition and testimony.
• Cross-Examination Consultation Development of cross-examination strategies and questions for challenging physicians in legal proceedings, including document review, research, and strategy development for defense and plaintiff attorneys.
• Work Ability Evaluation Evaluation of work ability based on risk, capacity, and tolerance, reviewing cases to determine whether restrictions exist based on scientific evidence and AMA Guides principles.
• SmartHistory.AI (SmartMedHx.AI) AI-powered medical history interview and reporting platform that automates collection of examinee medical history through AI-led interviews before IME visits and automatically generates structured reports.
• AI Report Screening Tool Hybrid AI and expert critique service for IME or impairment rating reports, providing structured expert-level critique within 24-48 hours using AI analysis supported by a proprietary medicolegal knowledge base, with human expert review.
• AMA Guides Mastery Training Comprehensive online training courses on AMA Guides to the Evaluation of Permanent Impairment, Fifth and Sixth Editions, providing mastery-level education for physicians, adjusters, attorneys, and claims professionals.
• eMedicoLegal Training Platform Professional online learning platform for the use of technologies and artificial intelligence in medicolegal practice, offering courses and training resources for medicolegal professionals.
• CertifiedRater Certification Online examination and certification program credentialing the ability to accurately assess impairment using AMA Guides methodology.

Quantifiable outcome

• Impairment ratings are frequently inaccurate in 40-60% of cases; company ensures ratings are correct and unbiased
• +2 more outcomes

Named customers5 records

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability7 records

Feature3 records

Partnerships

One partnership is on record.

• WorkCompCollege.com (Workers' Compensation Educational Services)majorStrategic or Co-development Partner · 5 May 2026WorkCompCollege.com acquired the intellectual property, training programs, and digital assets of Brigham and Associates including AMAGuides.com, Impairment.com, and CertifiedRater.com. The acquisition centers on curricula developed by Dr. Christopher R. Brigham covering the AMA Guides to the Evaluation of Permanent Impairment. The deal combines two established leaders in the sector and positions WorkCompCollege.com to lead the industry's transition to digital guides and assessment standards. Financial terms were not disclosed.

Scale indicators5 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• The IMA Group: National provider of independent medical examinations, peer reviews, and utilization management services for workers' compensation, disability, and liability cases. Directly competes with Brigham in IME/impairment review services.
• WorkCompCollege.com (Workers' Compensation Educational Services): Workers' compensation education provider that acquired Brigham's AMA Guides training IP (amaguides.com, certifiedrater.com, impairment.com) in 2026. Operates the same training/certification stack and serves overlapping customers in the workers' comp ecosystem.
• SISCO Enterprises: Workers' compensation software and services firm offering impairment rating tools and AMA Guides-based evaluation support. Closely adjacent technology peer to Brigham's impairment.com and AI screening offerings.
• ABIME (American Board of Independent Medical Examiners): Certifying body for physicians performing independent medical examinations. Dr. Brigham is a founding director; ABIME-certified physicians are the same talent pool that performs impairment reviews comparable to Brigham's offering.
• Dane Street: National IME and peer review company serving insurance carriers, TPAs, and government agencies. Direct competitor in impairment review and disability determination services.

Broad incumbents

• Broadspire (Crawford & Company): Third-party claims administrator offering IME, medical review, and disability management. Operates at much larger scale across workers' comp and disability lines, competing for similar enterprise customers.
• MedRisk: Workers' compensation managed care organization providing physical medicine and IME-related services. Competes for insurer and claims adjuster spend on impairment-related clinical services.
• Verisk (ISO Claims Partners): Data analytics and technology provider for insurance and healthcare, including workers' compensation analytics. Potential partner/competitor in providing impairment rating intelligence at enterprise scale.
• Genex Services: Large managed care provider for workers' compensation and disability, offering IME, case management, and utilization management. Overlaps with Brigham's review and expert witness services at much greater scale.
• Wolters Kluwer (MediRegs / Lippincott): Publisher of healthcare compliance and clinical decision support content, with adjacent offerings to AMA Guides training, regulatory reference, and clinical documentation tooling used in medicolegal work.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/BrighamAndAssociates
• LinkedInlinkedin.com/company/brigham-associates

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Brigham and Associates