What it does
Legal nurse consultant reviews, focus groups, forensic animations, medical demonstratives, medical narratives/chronologies, plaintiff expert searches, defense expert research, direct trial support, jury consulting, medical records requests, e-discovery/document management, video production. Everything above is drawn from the 5 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 Fields the company does not publish are marked as unpublished below rather than estimated.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 | US Med-Legal Review / Legal Nurse Consulting |
| Website | |
| Founded | 2008 |
| HQ | PO Box 1111, Newburgh, NY 12550 (PO box only; no physical street address published) |
| Ownership | Not disclosed |
| Turnaround | 4-9 business days for LNC reviews (self-reported, varies by record type/volume) |
| Headcount | 28 employees |
| Not published | PricingCertifications |
Medrecords AI vs Total Trial Solutions, LLC at a glance
Same 8 rubric rows, side by side. Vendor cells repeat what Total Trial Solutions, LLC publishes; a row it has not published stays that way. Medrecords AI cells are our own published terms.
| Rubric row | Medrecords AI | Total Trial Solutions, LLC |
| Processing model | AI drafts and cites; you review and sign. Every line cites its source page. | Human-only / Manual Review |
| Human QA | Yours, not ours. Output is editable and every claim links to the page it came from. | Included |
| Typical turnaround | Minutes to hours per file | Not published |
| Pricing model | Pay per page, no subscription (Self-Service); annual licence for Enterprise On-Prem | Not published |
| 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 | Full-service nationwide litigation support incl. medical record review |
| Customer satisfaction | We publish no rating of our own | No public reviews found |
Longer version: Total Trial Solutions, LLC 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
Total Trial Solutions, LLC publishes 4 of the 8 fields in the Content Hub rubric. Across the 24 US Med-Legal Review / Legal Nurse Consulting vendors profiled here, the median is 4 of 8. Of the 4 it leaves unpublished, these 2 matter most.
- How do you charge — per page, per file, per hour, or per seat?Get the unit before you scope a pilot. A per-hour or per-seat quote and a per-page quote behave very differently once a file runs past 1,000 pages.
- 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.
The other 7 questions, and what all 270 profiled vendors do and do not publish, are in the evaluation guide.
