Brigham and Associates, Inc. is dedicated to improving healthcare and the disability and claims systems to ensure accurate decisions and prevent needless disability. We accomplish this through web-based resources, training, smart medical history collection, speaking, writing, and consultation.
We provide the truly game-changing mastery training on AMA Guides to the Evaluation of Permanent Impairment at www.amaguides.com, and technologies and use of artificial intelligence training, especially for medicolegal professionals at www.emedicolegal.com.
We have revolutionized the process of medical history collection and reporting through the use of AI technology on our platform www.smartmedhx.ai.

Consultation services range from case analysis to system process redesign. We apply best practices as reflected in evidence-based medicine and current national guidelines. Referrals are made online.
We are best known for our expertise in the assessment of impairment based on the AMA Guides to the Evaluation of Permanent Impairment. We review reports to determine the accuracy and, if they are not accurate, work with our clients to correct and/or challenge these erroneous assessments.
“We improve outcomes and reduce the human and financial costs associated with needless disability.”
We assist with complex issues often associated with state and federal workers’ compensation programs, the Defense Base Act, the Longshore and Harbor Workers’ Act, automobile casualty, and bodily injury claims. Our clients include physicians, international organizations, other healthcare providers, insurers, claims organizations, attorneys (defense and plaintiff), employers, and government agencies. Referrals are made online.
Medical issues are often complex and require a physician’s discernment. Therefore, all our analyses are completed by board-certified physicians with extensive experience with the Guides. Company founder Christopher R. Brigham, MD, is one of the nation’s leading authorities on impairment and disability evaluation and management. Dr. Brigham is Senior Contributing Editor of the AMA Guides, Sixth Edition, Editor of the Guides Newsletter, and author of more than 275 publications.
Our web-based resources include:
- www.amaguides.com – online game-changing training of AMA Guides, Fifth and Sixth Editions – Mastery
- www.smartmedhx.ai – intelligent AI-led medical interviews automating the whole process of medical history collection and reporting.
- www.emedicolegal.com – online learning resources and training on the use of technologies and artificial intelligence
- www.impairment.com – resources on impairment assessment
- www.fifthedition.com – essential IME tools, resources, forms, and templates for evaluation under AMA Guides to the Evaluation of Permanent Impairment, Fifth Edition
- www.sixthedition.com – essential IME tools, resources, forms, and templates for evaluation under AMA Guides to the Evaluation of Permanent Impairment, Sixth Edition
- www.certifiedrater.com – certification for the ability to use the AMA Guides to the Evaluation of Permanent Impairment
- www.faithbasedclaims.org – Faith-Based Claims Association, ecumenical fellowship in faith and profession