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Medical record review for public sector

Compliant, auditable review — on the public record.

For public programs, boards, and agencies: structured, cited medical review with PHI audit logging and case-level access control built in.

Flags Summary Timeline Audit Case #B-4408 · 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

Public programs decide claims and benefits under statutory deadlines and public scrutiny. Manual review is slow and opaque — hard to standardize, and harder to defend at appeal or audit.

0
pages in a complex claim file
0 hrs
of manual review per claim
0 finding
unsupported can fall at appeal

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 · liveCase #B-4408
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 public accountability.

Every determination traceable, every access logged, every record under HIPAA-minimal access. In the public sector, defensible isn't optional — it's the mandate.

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

Accountability built in

PHI audit logging, case-level minimal access, and citations on every finding — a review process you can put in front of an auditor, a board, or a records request.

Consistent decisions, documented

The same structured, cited file for every claimant — decisions that hold up across offices and survive appeal.

Who this is for

Every decision can be appealed, audited, or requested.

Public programs answer to statute and scrutiny. Medrecords builds the review record accordingly — cited findings, logged access, minimal-access controls. Defensibility by default.

Citations on every finding, ready for appeal
PHI access logged end to end
Consistent determinations across offices and staff
Determination record · case B-4408 complete
Findings cited — 14 sources attachedper finding
PHI access log — 22 events, end to endexport
Access control — case-level minimalHIPAA
Appeal packet — assembled in minutesready
Ready for appeal, audit, or records request

Defensible decisions, on the record.

Structured, expert-verified review with the compliance posture public programs require — HIPAA controls, audit logs, and cited findings.