Medical record review for TPAs
One standard of review — across every client program.
Medrecords standardizes claim file review across clients, adjusters, and jurisdictions — cited, audit-ready output that holds your SLAs.
Charges flagged
The status quo
TPAs run client programs with different rules, formats, and SLAs. Manual review makes every file bespoke — slow to turn, hard to standardize, and harder to defend at audit.
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 third-party administration.
Your product is consistent, defensible service. Medrecords makes every file meet the same standard — whatever the client, line, or desk.
Hit SLAs on every file
Files arrive organized, deduped, and summarized in hours — so turnaround commitments hold even when referral volume spikes.
Client-ready, audit-ready output
The same structured, cited deliverable across every program — easy to report on, easy to audit, and easy to show in the next RFP.
Who this is for
Every client measures your turnaround differently. All of them measure it.
TPAs win on consistent service. Medrecords makes every file — any client, any line — arrive organized, summarized, and cited, so SLAs hold and audits read clean.
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 across clients. Win the next renewal.
Structured, expert-verified claim files with the consistency and audit trail your client programs demand.