Skip to content
Pandocs
National Insurance

How disability percentages are determined by National Insurance

Published: 2026-06-047 min read

Disability percentages are one of the central — and most confusing — concepts in the world of rights realization. To be clear up front: disability percentages are determined by a medical committee on behalf of the official body (such as National Insurance), not by any private party or technology platform. This article explains the general logic of the process — it does not promise an outcome.

What the assessment tables are

National Insurance uses 'disability tests' — a set of regulations that define, for each medical impairment, a possible range of percentages based on severity and characteristics. Each item has its own criteria, and there are sometimes several sub-items for the same medical domain.

How documents are matched to regulations

The practical difficulty is the matching: you have to identify the relevant findings within the medical documents and match them to the appropriate item and sub-item in the regulations. This requires:

  • Identifying the material diagnoses and findings in the file.
  • Understanding the clinical context — not just the word, but the meaning.
  • Matching to the right regulatory item, among hundreds of possible items.
  • Documenting the basis for each match, so it's traceable.

Why consistency and documentation matter so much

When dealing with a large volume of cases, consistency gaps between different analysts can lead to different outcomes for the same type of case. An orderly process — where every determination comes with a reference to the source and the regulatory item — enables control, transparency, and the ability to verify each step.

This is where technology comes in: automated analysis can surface findings and suggest possible disability percentages according to the regulations, consistently and at scale. But — and this is critical — it is a supporting tool. The suggestion is not a determination, and final eligibility is decided solely by the medical committee and the official body.

FAQ

Can a technology platform determine disability percentages?
No. A platform can surface findings and suggest possible matches to the regulations, but the determination is made by a medical committee on behalf of the official body.
What is SNOMED CT and why is it relevant?
It's a standard international medical vocabulary. Standardizing against it helps recognize that the same diagnosis, even in different wording, refers to the same medical condition — an important basis for consistent matching.

This article is general information and not legal, medical, or professional advice. Eligibility and disability percentages are determined by the official bodies.

Want to see it on a real file?

Send a sample document and we'll return an analysis, or book a short demo.

Free sample analysis