The disability evaluation bureau can prepare what kinds of ratings?

• A. Formal
• B. Summary
• C. Consultative
• D. All of the above

Answer: (D)

The disability evaluation bureau can produce impairment ratings in several formats to fit different needs in the claims process. A formal rating is a thorough, detailed determination of permanent impairment, usually based on the AMA Guides, with a full narrative of findings, the impairment percentage, and any resulting work restrictions. A summary rating offers a concise impairment conclusion and essential findings without the full narrative, useful for quicker decisions, routine case processing, or settlements. A consultative rating is provided when the bureau reviews existing medical information and may give an expert opinion without conducting a new full examination, often to address questions, provide a second opinion, or resolve disputes between other medical assessments.

Because the bureau can issue all three types, it can tailor its rating output to the situation at hand—whether a comprehensive, formally documented impairment determination is needed, a rapid summary for decision-making, or a consultative opinion to inform specific questions or disagreements.