Medical record review for claims
Cut review time and leakage — with an audit trail.
Upload the claim file — Medrecords returns a cited summary and chronology, with treatment gaps, inconsistencies, and unsupported charges flagged. Every finding traceable for the file.
The status quo
Adjusters inherit claim files thousands of pages deep — records, bills, statements. Manual review drags out every determination, and it's exactly where leakage slips through unnoticed.
Get the defensible claim file — without assembling it yourself.
Everything a determination needs — structured, surfaced, and sourced. Medrecords organizes the file, flags what inflates the claim, and builds summaries backed by citations, so adjusters decide instead of dig.
Claim summary · auto-drafted
Summaries: the whole claim in one view
A complete, structured summary per claim — mechanism of injury, treatment to date, and disputed charges — every finding traced back to the page it came from.
Chronology · by date
Automated chronology: the claim in order
Every page placed by date, provider, and event — with treatment gaps and billing anomalies flagged inline. Scroll the claim instead of hunting through PDFs.
Indexing & dedup: a clean, searchable file
Medrecords removes duplicate pages, flags mismatches, and separates co-mingled claimants — so the file behind the determination is one you can trust.
Audit trail: defensible by design
Every access logged, case-level minimal access enforced, and every finding cited to its source — a file that stands up to audit, dispute, and regulator alike.
Adapts to each claim
Built for claims determinations.
You shouldn't have to patch together PDFs, bill review spreadsheets, and adjuster notes to settle a claim. Medrecords gives you one structured, auditable view — ready for the determination.
Triage the queue, not just the file
Configurable workflows sort, route, and prioritize claims documents automatically — so every adjuster opens a file that's already organized, and the complex claims surface first.
Standardize review across every desk
The same structured, cited output on every claim — across adjusters, offices, and TPAs. Expert-verified before it reaches the desk, consistent enough to audit.
Who this is for
You have 40 open files. Reserves are due Friday.
Adjusters live between the queue and the deadline. Medrecords does the first read on every file — triage takes minutes, the red flags come to you, and the determination is defensible on the first pass.
Who we serve
One platform. Built for everyone who works the file.
The same defensible, cited record — shaped to how each team reads it: the case, the claim, or the exam.
Stop sorting documents. Start closing claims.
Process high-volume claim files with structured, expert-verified outputs — ready for determinations, reserves, and audit.