Each answer, against the record
Every medical question on the application set beside the records from the same months, with both pages.
conflictsMedrecords AI sets every application answer beside the medical record from the same months, flags the undisclosed visit, and cites both pages. 300 to 1,500 pages, read for the 1 encounter that matters. Materiality stays with your underwriter and counsel.
Heart rhythm disorder answered No. No current medications listed.
The usual contestable period. In New York a policy becomes incontestable 2 years after issue.
N.Y. Ins. Law §3203(a)A misrepresentation is material only if the true facts would have led the insurer to refuse the contract.
N.Y. Ins. Law §3105(b)The usual size of a contestable claim file.
Medrecords AIHow fast Medrecords AI reads the file.
Medrecords AIA contestable claim asks 1 question of a large file: what did the insured know on the application date, and would it have changed the decision? These are the pages that answer it.
Every medical question on the application set beside the records from the same months, with both pages.
conflictsParamedical findings, lab results and prescription history from underwriting, set against the treating file.
flaggedDiagnoses, prescriptions and referrals dated before the application that the answers do not mention.
undisclosedWhether the diagnosis was told to the patient, in the chart's words, with the date.
citedIssue date, claim date and death date on 1 line, so the 2-year question is answered at a glance.
N.Y. Ins. Law §3203The cardiology notes a referral points to, the pharmacy history a label implies. Listed with the page that points to each one.
missing-records list| Date | Source | Finding | Page | Flag |
|---|---|---|---|---|
| 10 Mar 2022 | Application, part 2 | Heart rhythm disorder answered No. No current medications listed. | p. 4 | conflicts with p. 211 |
| 14 Mar 2022 | Paramedical exam | Pulse 88, irregular. | p. 9 | flagged |
| 1 Apr 2022 | Policy | Issued at a preferred class. | p. 1 | cited |
| 28 Nov 2023 | Claim form | Filed 20 months after issue. | p. 14 | inside 2 years |
| Date | Source | Finding | Page | Flag |
|---|---|---|---|---|
| 16 Jun 2021 | Cardiology | Atrial fibrillation. Apixaban started. | p. 211 | undisclosed |
| 2 Feb 2022 | Pharmacy record | Apixaban refilled, 90 days. | p. 240 | undisclosed |
| 9 Oct 2023 | Emergency department | Ischemic stroke. | p. 301 | cited |
| 11 Oct 2023 | Death certificate | Ischemic stroke. Atrial fibrillation listed as contributing. | p. 330 | cited |
We assemble and cite what the application and the medical record say. We do not decide whether a misrepresentation was material, what class the policy would have been issued at, or whether to rescind. Those belong to your underwriters and counsel.
When an insured dies inside the policy's contestable period, the carrier may examine whether the application matched the medical record. A contestable claim record review organizes that comparison: what the application disclosed, what the treatment history shows, and where the 2 diverge, each point cited to the page it came from. Whether to contest, rescind, or pay the claim stays a carrier decision, made by its claims, medical, and legal teams.
No. Materiality is a legal question and the standard varies by state; some jurisdictions, Missouri and Kansas among them, require intent to deceive. We surface and cite the undisclosed encounters, diagnoses, and prescriptions in the record so your analyst, medical director, and coverage counsel can apply the standard themselves. We do not grade materiality, score the claim, or recommend an outcome.
Encounters, diagnoses, prescriptions, referrals, and test results that fall inside the application's lookback window, plus the negative findings that confirm an absence rather than leave a silent gap. On a file of 300 to 1,500 pages the decisive item is often a single visit note or one pharmacy line, so every page is read and every finding is cited to its source.
Every state sets a statutory 2-year contestable period running from issue, after which the policy generally cannot be contested for misrepresentation. That window decides which dates matter, so the chronology is built against the issue date and the date of death and everything falling inside it is flagged and page-cited. Applying the clause to the claim is your counsel's call, not ours.
No. Medrecords AI does not retrieve records from providers or facilities. You bring the attending physician statements, pharmacy histories, and claim-file productions you already have, and review starts in minutes from upload. Retrieval vendors take days; you can keep yours and still cut the read to minutes.
Book a short demo. After it we open trial access on one of your own cases, the first one free on us, with the comparison back page-cited.