Claims adjudication support, cited line by line.

Bulk-processes claim portfolios against your criteria; only claims needing human judgment reach a human.

Every billed amount traces to a source page — click any dollar figure, land on the document that justifies or contradicts it.

Billing roll-ups and future-care cost tables, ready for life-care plans and specials.

Tracks outstanding record requests with tiered follow-up escalation and a full audit trail.

Checks every diagnosis, treatment claim, and billed figure in an incoming demand against the record behind it.

One-page rolled-up billing summary, grouped by provider/date/category, from the ledger's source-verified data.

Flags intra-record contradictions and cross-claim provider patterns (cloned notes, upcoding signals) — cited signals for SIU review, not accusations.

Compares every billed amount to UCR/geographic benchmarks and flags outliers with percentile context.

Tags each visit and charge as related/unrelated/disputed to the covered incident, cited — adjudicator signs off.

Drafts the WCMSA allocation from the record at Medicare fee-schedule rates — ready for a certified MSA specialist's sign-off.

Cross-claim provider pattern view benchmarked against specialty, geography, and claim-type peer cohorts, drillable to the underlying evidence.

Aggregates cited billing, provider, and inconsistency signals into an estimated recoverable-value range with a confidence level and executive-ready report.

Parses demanded actions, deadlines, policy requests, allegations, injuries, treatments, and billing assertions into cited fields ready for verification.

Compares a claim's current reserve to a benchmark range built from medical severity drivers and comparable resolved claims, a reference point, not a verdict.

Flags claims trending toward high-severity thresholds based on early medical records, treatment intensity, injury type, and comparable trajectories.

Flags claims that settled above the comparable cohort without medical drivers that explain the gap, a pattern signal for review, not an accusation.

An opt-in internal QA tool: compares a sample of the carrier's own claim decisions against the record evidence and its own playbook, for training and process improvement.

Surfaces which providers, venues, and treatment patterns correlate with higher severity or cost across a claim portfolio, benchmarked and cited with sample size shown.

Analyzes a carrier's own historical outcomes by the defense counsel it has engaged, adjusted for claim severity, venue, and injury mix, a management view of the carrier's own data.

Models the likely cost, time, and evidence implications of different claim-handling paths side by side, the adjuster picks the path.

Scans the record for signals of third-party liability, duplicate coverage, and Medicare, Medicaid, or ERISA recovery opportunities, flagged for your recovery team.

Deduplication, co-mingled-record quarantine, and table extraction at intake.

Condition trends, work limitations, and cited answers behind every tag.

The full platform, every capability, one flat rate.