Medical record review for carriers
Scale defensible review across every claim in the book.
Medrecords standardizes medical review across lines, desks, and regions — faster determinations, less leakage, and a PHI audit trail on every file.
The status quo
Across a book of business, review quality varies desk to desk. Slow files inflate cycle time and reserves, and small leaks compound into material indemnity loss.
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 the book, not just the file.
Consistency is the carrier's edge. The same structured, cited output on every claim — measurable, auditable, and ready to scale.
Consistent output across every desk
Every adjuster starts from the same organized, cited file — so quality doesn't depend on who caught the claim, and audits read the same everywhere.
Leakage caught before it pays out
Treatment gaps, duplicate billing, and unsupported charges flagged with sources across the whole book — not discovered in the post-mortem.
Who this is for
You run 200 desks. Quality can't depend on which one answers.
At carrier scale the risk isn't one slow file — it's variance. Medrecords gives every desk the same structured, cited starting point, so cycle time, leakage, and audit results move together.
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.
Standardize review. Shrink leakage.
Roll out structured, expert-verified review across every line of business — with the audit trail regulators and reinsurers expect.