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Case Reports

Manage and track your medical evaluation cases with AI-powered insights.

10 Total Cases 10 Completed
#QjSkhgdins4WelzX Completed

Halloway, Marcus — IME

Cervical & lumbar injury following motor vehicle accident

Life Care Plan
3
Documents
51
Pages
4m 55s
Processing
Focus: Orthopedic injury
Injury Date: 6/18/2026
Created: 6/15/2026
Question at Hand: Future surgical needs & cost projection
#ssFcKJRZ5sWRX4kX Completed

Whitfield, Diane — Records Review

Workplace fall, multiple fractures

Life Care Plan
3
Documents
192
Pages
4m 55s
Processing
Focus: Trauma rehabilitation
Injury Date: 6/15/2026
Created: 6/15/2026
Question at Hand: Causation & permanency assessment
#F3ED4QP8Ptn37QF6 Completed

Estate of R. Nguyen

Long-term attendant care needs assessment

Life Care Plan
4
Documents
9
Pages
20m 47s
Processing
Focus: Geriatric care
Injury Date: 6/10/2026
Created: 6/15/2026
Question at Hand: Attendant care hours & equipment needs
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Halloway, Marcus — IME

Completed

Basic Information

Case details and patient information

Case Type
Independent Medical Evaluation
Case Name
Halloway, Marcus — IME
Description
Cervical & lumbar injury following a rear-end motor vehicle collision. IME requested to assess causation, permanency, and projected future care.
Created At
6/15/2026, 8:24:34 PM
Last Updated
6/15/2026, 8:29:38 PM

Narrative Summary

Comprehensive case narrative and medical history

Completed
6/15/2026, 8:28:29 PM

Comprehensive Chronological Case Narrative

Patient Background and Mechanism of Injury

This case concerns Marcus Halloway, a 48-year-old male employed as a regional logistics supervisor, who sustained cervical and lumbar spine injuries in a rear-end motor vehicle collision on June 18, 202612. The mechanism was consistent across the records reviewed: the patient's vehicle was stopped at a controlled intersection when it was struck from behind, producing an acute flexion–extension load to the cervical spine and axial compression of the lumbar segments. He reported immediate neck stiffness and lower back pain with radiation into the left lower extremity. Relevant prior history included a remote L5–S1 microdiscectomy and well-controlled type 2 diabetes mellitus (ICD-10 E11.9)3.

Initial Diagnostic Imaging — June 30, 2026

An MRI of the cervical and lumbar spine was performed on June 30, 2026 without contrast at the Regional Diagnostic Imaging Center. The cervical study demonstrated a C5–C6 disc protrusion with mild central canal narrowing and bilateral foraminal encroachment. The lumbar study revealed a recurrent left paracentral disc herniation at L5–S1 contacting the traversing S1 nerve root, consistent with the patient's reported radicular symptoms4. No acute fracture or malalignment was identified.

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HIPAA Notice of Privacy Practices — E.T.C. Physical Therapy

4/1/2003
Effective date stated as 'April 2003'; day assumed to be 01 as no specific day was provided.
Irrelevant Pre Injury Not Causal Summarized

Group Name

Other Documents

Sub Categories

Other Documents

Summary

Document is a HIPAA Notice of Privacy Practices from E.T.C. Physical Therapy, Belton, MO, effective April 2003.

Outlines permissible uses and disclosures of protected health information including treatment, payment, and healthcare operations.

Describes patient rights including right to inspect/copy records, request amendments, request restrictions, and file complaints.

No clinical findings, diagnoses, treatment rendered, or patient-specific medical information is contained in this document.

Facility contact: E.T.C. Physical Therapy, P.O. Box 320, Belton, MO 64012, phone 816-331-9111.

Descriptive Summary

Facilities

1
E.T.C. Physical Therapy — Physical Therapy Clinic, Belton, MO

Source Documents

HIPAA Notice of Privacy Practices — E.T.C. Physical Therapy

OCR DOCUMENT HIPAA Privacy Notice Pdf
Page Information
Page Quality Status Verified Reasoning The document is a standard HIPAA privacy notice for a physical therapy clinic. The text is clear, printed, and contains no handwritten annotations or missing information.
Effective Date: April 2003

This notice describes how medical information about you may be used and disclosed, and how you can get access to this information. Please review it carefully.

If you have any questions about this notice, please contact E.T.C. Physical Therapy, Belton, MO 816-331-9111.

OUR OBLIGATIONS

We are required by law to:

• Maintain the privacy of protected Health Information.

Page 1 of 2
Document Page 219 • pdf

Chronological Narrative

Complete medical timeline summary

Completed

Comprehensive Chronological Case Narrative

Timothy Adams — Townsend Law

Independent Medical Evaluation — Right Shoulder Injury (Date of Injury: 11/05/2025)

Administrative and Identification Information

The claimant, Timothy Adams, is a male with a date of birth of 02/22/1962, making him 63 years old at the time of the reported injury on 11/05/2025. Personal identification records document a Missouri driver license (license number E1659174, Class F operator), issued 09/16/2020 and expiring 02/22/2027, with no endorsements or restrictions and organ donor designation. Physical descriptors include male sex, height 5'10", weight 275 lbs, and blue eyes, with an address listed in Grandview, MO View Source Document.

Insurance coverage is provided through Ambetter from Home State Health under a Complete Silver + Vision + Adult Dental plan with Premier Network Coverage Only, effective 01/01/2025. The policy number is 96757097, and the Member ID is U9675709701, underwritten by Celtic Insurance Company as a Qualified Health Plan in the Missouri Health Insurance Marketplace. Cost-sharing details include a $0 PCP copay, $5 specialist copay per visit, $10 urgent care copay per visit, 25% ER cost share, an in-network deductible of $0/$0 (individual/family), and an in-network maximum out-of-pocket of $1,700/$3,400 View Source Document.

Last updated: 6/15/2026, 8:06:03 PM

independent_medical_evaluation

Completed Unattested
Last updated 6/15/2026, 8:07:10 PM

Mike Townsend, Esq.
Townsend Law Office
8440 W 110th St, Suite 300
Overland Park, KS 66021

RE: Timothy Adams
Date of Birth: 02/22/1962
Date of Accident/Incident: 11/05/2025

Dear Mr. Townsend,

I had the pleasure of reviewing the medical records of the above patient for the purpose of performing an Independent Medical Evaluation. The following report is based upon my review of the available medical records, imaging reports, and billing documentation.

I. Records/Images/Reports Reviewed

Over 282 pages of medical, billing, and imaging records from 11/05/2025 (date of accident) through 04/16/2026 were reviewed in preparation of this document, including records from:

  • St. Joseph Medical Center — Emergency Department, Kansas City, MO
  • Omni Emergency Medicine, LLC
  • Southland Primary Care — Belton, MO (Dr. Ossama Al-Assafeen, MD and associated providers)
  • OSI Orthopedics & Sports Medicine — Overland Park and North Kansas City (Danielle Tucker, NP-C; Terry L. Presley Jr., DO; Mark E. Howshar, MD)
  • Orthopedic Surgeons PA

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Case Assistant

Dr. Stephenson

Missing Providers

The IME report lists some providers that I do not see in the records provided including: Diagnostic imaging centers bill, All American teleradiology bill or record, Orthopedic Surgeons PA records and bill. can you confirm?

Dr. Stephenson Clinical Synthesis 6/29/2026, 10:37:25 PM
Case Assistant

Based on the provided records, I can confirm the following:

  • Orthopedic Surgeons PA records and bill: There is a "Patient Billing Ledger" from "Orthopedic Surgeons PA" that includes charges and payments for services from November 20, 2025, to February 12, 2026 [1]. This document lists Terry Presley, DO, and Danielle Tucker, NP-C, as providers [1].
  • Diagnostic imaging centers bill: I was unable to locate this in the pages I searched. It may exist elsewhere in the record set.
  • All American teleradiology bill or record: I was unable to locate this in the pages I searched. It may exist elsewhere in the record set.
Sources:
[1] Page 129 ✓ — "Patient Ledger Business Unit: Orthopedic Surgeons PA…"
Clinical Synthesis Evidence-Based Extraction Zero Interpretation