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Medical record review for disability carriers

1 record review standard. Every LTD file, every review cycle.

Medical record review for group and individual disability carriers — APS records, treatment history, and functional capacity evidence organized and cited before the next review date, not after. Built for claims examiners and nurse case managers who re-underwrite the same file every 12 to 24 months and cannot afford to re-read it cold each time.

By Ahmed Jemaa, Co-Founder & CEO of Medrecords AI · Published 29 Aug 2026 · Updated 14 Sep 2026

APS + treatment records · organizing review-ready
1,150 pp → 7 providers, sorted & deduplicated
Own-occ → any-occ transition, month 22 — surfaced to top
Functional capacity conflict — cited across 3 providers
Built for the book, not just the file.
The status quo
24-month own-occ deadline, file arrives the week before
APS requests to 4+ treating providers per claim
1 missed functional-capacity note reopens the file on appeal

Open an APS file that's already organized.

Everything the review cycle needs — structured, surfaced, and sourced. Medrecords organizes the APS records, builds the treatment and functional timeline, and drafts the history with citations, so your time goes to the determination.

APS summary · from your templateYour template
p.31 p.212 p.640

Custom reports: your letterhead, your voice

Summary templates draft the treatment history and the functional evidence with inline citations. You add the determination. Export clean, in your format, every time.

Chronology · by date
2019Prior injury · lumbar strain, pre-DOI
Feb 11Date of injury — ER visit
May 22MRI — Lumbar imaging placed inline
Jun 01Gap in care · 47 days
Jul 17Orthopedic consultation

Automated chronology: the history in order

Treatment history, functional capacity evidence, and gaps — every event dated, sourced, and in sequence. The whole APS file scannable before the review date.

Duplicate sets · 4Match similarity
Ambulance Call ReportmultipleReview
Consultation Report84%Review
Progress Note87%Review
Remove all duplicates

Dedup & indexing: shrink the APS file first

APS files arrive bloated with duplicates and misfiled pages. Medrecords removes the redundancy and indexes what remains — so you read each page once.

Cross-checked · multi-modelClaim #M-2210
Claimant nameJane Doe✓
Date of injury2024-02-11✓
DiagnosisLumbar disc herniation✓
Prior injury2019 lumbar strain✓
Treatment to datePT ×12 · ESI ×2✓

Built to be verified — not just believed

Multiple models cross-check every extraction. Each field carries its citation and a confidence score, and low-confidence pulls are flagged, so your verification is a click, not a re-read.

Adapts to each file

Built for expert-level decisions.

Contradictions, diagnostic inconsistencies, prior injuries: surfaced with citations, scored for confidence, and left for you to weigh. The judgment stays yours.

See the full IME workflow, capability by capability →
Intake · Case 2025-0412 reading — p. 1,462 / 1,847
PDF ED_records · 214 pp DOC ortho_chart · 1,128 pp JPG nurse_note · flagged
Multi-model read · dedupe · claimant split · index
1,847 pp in 612 unique 14 flagged One DICOM study
Organized recordby provider · date
01Jul 17Medical Records
02Jul 17Imaging Reports
03Aug 06Physician Notes
612 pp indexed · every row citedopen the case →

Surface the clinical details that change opinions

Contradictions across providers, diagnostic inconsistencies, and key clinical events — highlighted on the timeline and cited to the page, so you analyze instead of search.

We help you make the call. The last word is yours.

AI does the reading, every line stays reviewable and traceable, and verification is 1 click to the source. The findings and the opinion remain yours. As they should.

Who this is for

You're the expert. Reading shouldn't be the job.

Claims examiners and nurse case managers at group and individual disability carriers who re-underwrite the same file every 12–24 months and can't afford to re-read it cold each time.

Contradictions and diagnostic inconsistencies highlighted with sources
Records oriented by provider, facility, and date at a glance
More files per week, with the same clinical rigor
Records review · file 3 of 9 today panel-ready
Dx: cervical radiculopathy — progress notep.212
EMG negative — 6 weeks laterconflict · p.388
Prior claim, same body part — 2021p.63
ROM measurements — all visits, comparedtable
Contradictions found for you — conclusions stay yours
The objection

“Does this replace our in-house nurse reviewers?”

No — it removes the reading, not the judgment. Reviewers verify a cited summary in minutes instead of assembling one from scratch.

Built for the defensible review — every cycle.

Who we serve

One platform. Built for everyone who works the file.

The same defensible, cited record, shaped to how each team reads it: the case, the claim, or the exam.

Roles
Plaintiff AttorneysProve the injury, dollar by dollar Defense CounselSurface the case-deciding fact Legal Nurse ConsultantsChronologies in a fraction of the time IME & QME PhysiciansDefensible IME opinions, faster Medical Expert WitnessesCited opinions, not paper chases Claims Adjusters & ExaminersTriage and settle sooner Forensic EvaluatorsYour report format, fully cited Medical Examiners & CoronersThe history before the certification Life Care Planners & Vocational ExpertsCost projections built on the full record VA-Accredited RepresentativesThe whole C-file before you file C&P ExaminersC-files, exam-ready on time Social Security Disability RepresentativesYears of records, 1 hearing
Organizations
Insurance CarriersScale review across every claim Law FirmsLitigation-ready case files TPAs & Case ManagementStandardize across clients Government & Public SectorCompliant, auditable records IME Companies & NetworksOne pipeline, every physician Self-InsurersClaims reviewed like a carrier would Disability InsurersYOU ARE HERELTD/STD files, cited every cycle Settlement AdministratorsTier claims at MDL scale VA C&P Exam ContractorsC-files, exam-ready on time Hospital Risk ManagementKnow the chart before counsel does Litigation FundersUnderwrite the file, not the pitch Medical Funders & Lien NetworksFund the treatment, verify the file
Use Cases
Social Security DisabilityTimeline ready before the hearing Personal Injury PlaintiffCited evidence on demand Personal Injury DefenseVerify specials, flag the gaps Veteran DisabilityTimeline built before the exam Workers' CompensationTrack treatment and gaps Mass TortQualify claimants at scale Medical MalpracticeReconstruct the timeline Auto Bodily Injury ClaimsSpecials and causation, cited
Not sure which fits? Talk to us about Enterprise
FAQ

Disability Insurers, answered.

Each provider's records are merged into one dated timeline, with every entry attributed to its source.

Yes — every clinical fact is cited to the source page, not just summarized.

Yes — the same file can be re-summarized against updated records at each review point.

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Send your next LTD file.

Read the cited summary before the review is due. Then decide.

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