Many online tools produce a broad range based on simplified inputs. That can be misleading because insurers adjust settlement value based on details that are easy to overlook—especially in Missouri cases where documentation gaps can be used to argue symptoms are exaggerated, unrelated, or not as severe.
In Columbia, common reasons valuations go sideways include:
- Delayed or inconsistent treatment after the injury (even if you were “fine” at first)
- Confusion about symptom timelines (especially when headaches, dizziness, or memory issues appear later)
- Gaps in cognitive/functional records, like missed follow-ups after a concussion or brain injury clinic visit
- Disputes over fault in multi-car crashes, turn-lane collisions, or pedestrian-adjacent incidents near high-traffic areas
- Pre-existing conditions (migraines, sleep issues, prior concussions) that defense counsel may try to blame
A good Columbia TBI settlement evaluation should address these issues directly—because that’s where negotiation leverage is won or lost.


