What it does
eDiscovery services, data preservation and forensic investigations, enterprise legal solutions, managed document review — medical record review not explicitly listed as a standalone service line on About page fetched this session, though Consilio is widely known industry-wide to perform medical record review as part of mass tort/personal injury document review engagements. Everything above is drawn from the 7 public sources cited at the foot of this page. Fields the company does not publish are marked as unpublished below rather than estimated.
Key facts
| Segment | HIM / RCM Outsourcer & LPO at scale |
| Website | |
| Founded | 2000 (originally First Advantage Litigation Consulting; rebranded Consilio in 2013) |
| HQ | 1828 L St. NW, Suite 1070, Washington, DC 20036 |
| Headcount | 1,001-5,000 employees (self-reported band on its LinkedIn company page, read 2026-09-18) |
| Ownership | PE-backed: GI Partners (since 2018); previously Shamrock Capital Advisors (2015-2018) |
| Certifications | Licensed by Texas Department of Public Safety, Private Security Program (License No. A31009701) |
| Not published | PricingTurnaround |
Medrecords AI vs Consilio at a glance
Same 8 rubric rows, side by side. Vendor cells repeat what Consilio publishes; a row it has not published stays that way. Medrecords AI cells are our own published terms.
| Rubric row | Medrecords AI | Consilio |
| Processing model | AI drafts and cites; you review and sign. Every line cites its source page. | Human-led Document Review + AI-assisted eDiscovery platform (Sightline) |
| Human QA | Yours, not ours. Output is editable and every claim links to the page it came from. | Included (managed review teams) |
| Typical turnaround | Minutes to hours per file | Not published |
| Pricing model | Pay per page, no subscription (Self-Service); annual licence for Enterprise On-Prem | Quote-based (service-based, by data volume/complexity) |
| Indicative cost | from 10¢ to as low as 5¢ a page, duplicates free | Not published |
| Export formats | DOCX, PDF and HTML, hyperlinked back to every source page; API or SFTP delivery | Not published |
| Best for | Law firms, IME clinics, legal nurse consultants and small TPAs | Am Law 100 firms and large enterprises needing eDiscovery and managed document review |
| Customer satisfaction | We publish no rating of our own | 67+ reviews on G2 (aggregate star rating not directly accessible) |
Longer versions: Medrecords AI vs Consilio, head to head · Consilio alternatives compared.
The boundary on our side does not move: the software drafts and cites; you review, you revise, you sign.
Evaluation criteria
Profile notes
What to confirm before you sign
Consilio publishes 6 of the 8 fields in the Content Hub rubric. Across the 27 HIM / RCM Outsourcer & LPO at scale vendors profiled here, the median is 5 of 8.
- What does a real 1,000-page file cost, all in?Ask for a worked example rather than a rate card. Duplicate pages, rush fees and monthly minimums are where the quoted rate and the final invoice separate.
- What is the turnaround on a 1,000-page file, and is that a median or a best case?Ask what the clock starts from — receipt, or the point the file clears intake — and what the same number looks like in your busiest week.
The other 7 questions, and what all 270 profiled vendors do and do not publish, are in the evaluation guide.
