Fees follow actual workload
The decisive factors are file volume, methodological depth, scientific review effort and the complexity of the core medical issue.
The remuneration structure depends on the type of instructing party, the scope of the question and the depth of review required.
| Instruction type | Remuneration framework |
|---|---|
| Court reports | Remuneration under the applicable statutory framework for court-appointed expert work. |
| Insurance reports | Individual fees based on scope of review, records, complexity and required depth. |
| Private reports / law firm instructions | Individual quotation based on the question, file volume and methodological effort required. |
| Variant assessment / supplemental opinion | Usually a clearly delimited scope with a separate quotation. |
The decisive factors are file volume, methodological depth, scientific review effort and the complexity of the core medical issue.
Before work begins, it is defined whether the assignment is a full report, supplemental report or focused specialist opinion.
Additional work caused by new questions, major record expansions or later supplemental instructions is communicated transparently.
The main cost drivers are the complexity of the medical question, the volume and quality of the underlying records, the need for deeper scientific appraisal and whether the task is a full report or a narrowly delimited supplemental opinion.
Especially in rare disease or disputed variant settings, the effort may be driven less by page count than by the level of specialist depth required. Outside court appointments, remuneration is therefore usually case-specific and individually agreed.
Useful are the client type, the question, approximate file volume, desired scope of work and available genetic findings.