# Black Lung Claim Record Review — Part 718 > Record review for federal black lung claims. ILO B-read classifications, pulmonary and blood gas values checked against 20 CFR Part 718 thresholds. Canonical page: https://medrecords.ai/solutions/black-lung-claim-review/ --- [Home](https://medrecords.ai/) ›[Solutions](https://medrecords.ai/solutions/) ›[Workers' Compensation](https://medrecords.ai/solutions/workers-comp/) ›Black Lung Claim Review BLACK LUNG CLAIM RECORD REVIEW ## Two x-rays, two pulmonary studies, two blood gas studies — pick the right ones. Black lung claim record review reads the full federal claim file against the standard that grades it. §725.414 caps each party at two x-ray readings, two pulmonary function studies, and two blood gas studies, so we check every value against Part 718's height-and-age thresholds before you choose which two to file. [Test a file ](https://medrecords.ai/test-a-file/?src=black-lung-claim-review) [Book a demo](https://medrecords.ai/demo/?src=black-lung-claim-review) Click any row → the source page it cites Evidence inventory · Case #IME-4812 indexed Adams, Timothy · black lung claim file 342 pp / 2 packets received logged 11 duplicate pages removed free p.140 — wrong patient quarantined Pages 342 Documents 27 Cited 100% ### The thresholds are printed. So is the exhibit cap. We do not build for a case type until we can name the standard that defines a correct output and the person who grades the file against it. Federal black lung claims put both in the regulation, down to the numeric value. That is what makes the case type buildable. A qualifying pulmonary function value is a table lookup on height and age, not an opinion, and the evidence cap is a counting rule. The rulebook and the referee The rulebook - 20 CFR Part 718, Appendices A through C — exact pulmonary function and arterial blood gas thresholds, tabulated by the miner's height and age - 30 USC §921(c)(4) — the 15-year rebuttable presumption, argued from coal mine employment history and totally disabling respiratory impairment - 20 CFR §725.414 — strict evidentiary limits: two x-ray readings, two pulmonary function studies, two blood gas studies, and two medical reports per party - Exceed the §725.414 limit and the evidence is excluded. There is no later cure for an exhibit designated in the wrong slot. The referee - The District Director, who issues the proposed decision and order on the developed record - Then the DOL Office of Administrative Law Judges, the Benefits Review Board, and the federal Court of Appeals - Under §725.414 a mis-selected exhibit is fatal, because the party has already spent one of its two slots - The approval rate is 32%, so roughly two-thirds of the work product is graded as insufficient Roughly 12,400 files worked a year at about fifteen hours each, in federally grant-funded clinics Flat 10¢/page here, duplicates free Evidence inventory · Case #IME-4812 cited 100% Production342 pp / 2 packets · 11 deduplicatedlogged Chest x-ray readingsReader, credentials, date, classificationindexed Pulmonary and blood gas studiesValues with height, age, test datetabulated Coal mine employment historyHandwritten forms and decades-old carbonsdegraded 4 evidence categories · cited 100% · no eligibility calls What the file looks like ### A working life, produced in pieces. A federal black lung file runs 1,000 to 4,000 pages, with 2,500 about typical. It is rarely one production. Clinic charts, hospital admissions, operator-ordered examinations, prior claims, and decades of coal mine employment forms arrive separately, in different formats, with the same films and reports reappearing across packets. Much of it is hard to read before it is hard to analyse: handwritten employment forms, carbon copies, and scans of scans, next to typed reports whose numeric values are the entire point. 6,120 claims filed in FY2024, up from 5,566 4,242 claims pending at the same point $175M paid in Part B and Part C benefits 32% approval rate on the graded record Claim, pending, and benefit figures: DOL, primary source. What we'd build with you ### Four steps, starting with one real file. 01 #### Send one real file A claim file you already hold, in whatever shape it arrived. We do not retrieve records from providers or the Department of Labor; you bring what you have, degraded scans and handwritten employment forms included. 02 #### We return the read A full inventory of the §725.414 categories: every x-ray reading, pulmonary function study, blood gas study, and medical report, with dates, authors, values, and the page each came from. In the demo case, a wrong-patient page is quarantined before the read starts. 03 #### We scope the build Together we decide what the output should be: the evidence inventory, the Part 718 table row placed beside each value, the conflicting-readings view, or the chronology behind the employment history. Then we scope it against your intake volume. 04 #### You run it Your benefits counselor, lay representative, or clinic coordinator works from the inventory and designates the exhibits. The platform never designates evidence, never invokes a presumption, and never decides a claim. Audit trail · Case #IME-4812 exportable 08:12Packet received · 342 pp / 2 packetssystem 08:3111 pages deduplicatedsystem 08:44p.140 flagged — wrong patientsystem 08:54Evidence inventory complete · cited 100%system 09:20Inventory reviewed · citations verifiedreviewer 09:26Inventory exported · exhibits designated off-platformreviewer Every access logged · file deleted 30 days after delivery Why Medrecords AI ### The rules the platform never breaks. EVERY LINE CITED CASE #IME-4812 · ADAMS, T.342 pp 2/14 — ER visit, right knee p.4 4/18 — arthroscopic surgery p.61 p.140 — wrong patient quarantined Medrecords AI Read every page · cite every line #### HIPAA, under a signed BAA Every file is handled under our Business Associate Agreement, from the first byte. #### Never trains a model Your records are never used to train any AI model — ours or anyone else's. #### Every line cited If we can't cite it, we don't say it. Every sentence links to its source page. #### Deleted after delivery Files are deleted 30 days after delivery, with a full audit log of every access. Powered by the platform ### Four capabilities behind every evidence inventory. The black lung record review is one deliverable of the same platform that reads, sorts, and cites the whole record. [ #### Medical Records OCR Handwritten employment forms, carbon copies, and scans of scans read in full — nothing skipped, nothing guessed. IN ACTION · 342 pp / 2 packets → 27 documents, read in full ](https://medrecords.ai/product/ocr/) [ #### Medical Table Extraction Spirometry and blood gas tables come out as values, not prose: FEV1, FVC, MVV, pO2, pCO2, with the height and age printed on the same study. IN ACTION · study table → value, height, age, test date ](https://medrecords.ai/product/medical-table-extraction/) [ #### Medical Chronology Decades of employment and treatment records land on one timeline, synced to every source page, so prior claims sit next to current studies. IN ACTION · multiple productions → one continuous timeline ](https://medrecords.ai/product/chronology/) [ #### Condition Progression Tracking The same clinical measure across years of studies, lined up so a trend is visible instead of buried in separate reports. IN ACTION · repeat studies → one trend, every point cited ](https://medrecords.ai/product/condition-progression-tracking/) Adjacent federal programs we also read: [EEOICPA claim review](https://medrecords.ai/solutions/eeoicpa-claim-review/) and [RECA claim review](https://medrecords.ai/solutions/reca-claim-review/) . FAQ ### Black lung claim evidence, answered. Four categories, each capped by 20 CFR 725.414: chest x-ray readings, pulmonary function studies, arterial blood gas studies, and physicians' medical reports, alongside the employment history that establishes coal mine work. We read the whole production, index every one of those items with its date, its author, and its page cite, and put the full set in front of you. Which items make the strongest record is counsel's judgment, not ours. Part 718 Appendices A through C set exact qualifying values by the miner's height and age, so an FEV1 or a pO2 only means something next to the height and age recorded on that study. We extract the values, the height, the age, and the test date, cite each to its page, and place the applicable table row beside them. Whether a study qualifies is the adjudicator's call. No. An ILO classification is made by a physician holding a NIOSH B reader certification, and nothing on the platform replaces that. What we do is index the readings already in the file: the reader, the credentials claimed, the date, the classification given, and the page it sits on. When two readers disagree on the same film, we surface both readings side by side instead of picking one. No. The rebuttable presumption under 30 USC 921(c)(4) is a legal determination made by the District Director, and then by an administrative law judge if the claim is contested. We assemble the record it is argued from: the coal mine employment history, the conditions of that employment, and every piece of respiratory impairment evidence in the file, each cited to its source page. We never conclude that a presumption is established or rebutted. Section 725.414 lets each party submit only two x-ray readings, two pulmonary function studies, two blood gas studies, and two medical reports. Exceeding the limit gets evidence excluded, and a mis-selected exhibit cannot be cured later. We give you a complete inventory of everything in those four categories, with dates, authors, values, and page cites, so the designation is made with the whole file visible. The designation itself stays counsel's decision. ### Send one file. We'll tell you what we can read. No obligation. If the case type is buildable we'll scope it; if it isn't, we'll say so. [Test a file ](https://medrecords.ai/test-a-file/?src=black-lung-claim-review) [Book a demo](https://medrecords.ai/demo/?src=black-lung-claim-review) [All workers' compensation record review →](https://medrecords.ai/solutions/workers-comp/) [See every case type we process →](https://medrecords.ai/solutions/case-types/)