The clinical review process is the part every IME organization has figured out. The Evaluator's judgment is sound. The QA standard holds. Reports go out on time. What most firms haven't designed is the infrastructure to deliver a file the Evaluator can work from the moment it opens. That is where the capacity problem lives. Not in the exam. In the two days before it. An Evaluator opens a file, expecting to make a clinical judgment. What they often find first is a reconstructi