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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.

Flags Summary Timeline Audit Claim #48-2211 · 1,847 pp
Findings flagged for review
Gap in care — 47 daysp.212
Unsupported charge — CPT 99214 billed twicep.640
Inconsistent injury history across providersp.88 · p.412
Prior injury disclosed — 2019 lumbar strainp.31
Every access logged · PHI audit trail
Charges flagged
$0
across 3 findings · all cited
Source · p.640100%

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.

0
pages in a complex claim file
0 hrs
of manual review per claim
0 charge
missed becomes leakage that pays out

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

p.31p.212p.640

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

Feb 11Date of injury — incident report
Apr 02Progress Note
May 22Gap in care · 47 days, no treatment
Jun 01Billing statement — CPT 99214
Jul 17Consultation Report

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.

Duplicate sets · 4Match similarity
Billing StatementmultipleReview
Consultation Report84%Review
Wrong claimant — J. Roeco-mingledSeparate
Remove all duplicates

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.

PHI audit trail · liveClaim #48-2211
09:14 · A. Rivera viewed p.212
09:16 · A. Rivera exported claim summary
09:31 · Dr. Chen reviewed flagged charges
09:47 · QA verified diagnosis fields
10:02 · Determination note added to file

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.

01Jul 17Medical Records
02Jul 17Billing Statements
03Aug 06Physician Notes
PDF DOC JPG

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.

Prior injuries and pre-existing conditions identified up front
Initial file review cut from days to hours
Cleaner pre-work that cuts downstream IME and legal spend
Your queue · Friday 09:00 reserves due
#48-2211 — Summary ready, all findings citeddone
#48-2214 — 2 flags · unsupported charges $12,480review
#48-2216 — Deduped 1,847 → 612 pages−67%
#48-2219 — Gap in care flagged · 47 daysp.212
Triage done first thing — every flag sourced

Stop sorting documents. Start closing claims.

Process high-volume claim files with structured, expert-verified outputs — ready for determinations, reserves, and audit.