# Auditable Medical Review for Public Programs — Medrecords AI > Every determination backed by a cited record and a complete access log. When the appeal or the records request comes, the file answers for itself. Canonical page: https://medrecords.ai/solutions/government/ --- New — **Missing Records Detection:** flags every visit, provider, and date missing from the file. [See how →](https://medrecords.ai/product/missing-records-identification/) [Home](https://medrecords.ai/) ›[Solutions](https://medrecords.ai/) › — Government & Public Sector Medical record review for public sector ## Compliant, auditable review — on the public record. Medical record review for government and public-sector agencies, built to be compliant and auditable on the public record. Every determination is backed by a cited record and a complete access log, so when the appeal or the records request comes, the file answers for itself. [Book a demo](https://medrecords.ai/demo/) [Estimate Your ROI ](https://medrecords.ai/plans/self-service/) Determination B-4408 · audit log reconstructable 06/12 09:02 — File accessed · Reviewer 3 — logged 06/12 09:41 — Finding cited · 14 sources — per finding 06/13 14:20 — Determination recorded — logged 06/29 — Appeal packet assembled from log — minutes Review reconstructable end to end — complete When the records request comes, the file answers The status quo Public programs decide claims and benefits under statutory deadlines and public scrutiny. Manual review is slow and opaque: *hard to standardize, and harder to defend at appeal or audit.* statutory clocks that don't pause for backlogs every appeal re-litigates the review itself 1 records request away from public ### Get the defensible claim file, without assembling it yourself. Everything a determination needs: structured, surfaced, and sourced. Medrecords organizes the file, flags what inflates the claim, and builds summaries backed by citations, so adjusters decide instead of dig. Claim summary · auto-drafted p.31 p.212 p.640 #### Summaries: the whole claim in one view A complete, structured summary per claim: mechanism of injury, treatment to date, and disputed charges — every finding traced back to the page it came from. Chronology · by date Feb 11 — Date of injury — incident report Apr 02 — Progress Note May 22 — Gap in care · 47 days, no treatment Jun 01 — Billing statement — CPT 99214 Jul 17 — Consultation Report #### Automated chronology: the claim in order Every page placed by date, provider, and event — with treatment gaps and billing anomalies flagged inline. Scroll the claim instead of hunting through PDFs. Duplicate sets · 4 — Match similarity Billing Statement — multiple — Review Consultation Report — 84% — Review Wrong claimant — J. Roe — co-mingled — Separate Remove all duplicates #### Indexing & dedup: a clean, searchable file Medrecords removes duplicate pages, flags mismatches, and separates co-mingled claimants, so the file behind the determination is one you can trust. PHI audit trail · live — Case #B-4408 09:14 · A. Rivera viewed p.212 — ✓ 09:16 · A. Rivera exported claim summary — ✓ 09:31 · Dr. Chen reviewed flagged charges — ✓ 09:47 · QA verified diagnosis fields — ✓ 10:02 · Determination note added to file — ✓ #### Audit trail: defensible by design Every access logged, case-level minimal access enforced, and every finding cited to its source: a file that stands up to audit, dispute, and regulator alike. Adapts to each claim ### Built for public accountability. Every determination traceable, every access logged, every record under HIPAA-minimal access. In the public sector, defensible isn't optional — it's the mandate. 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 record — by provider · date 01 — Jul 17 — Medical Records 02 — Jul 17 — Billing Statements 03 — Aug 06 — Physician Notes 612 pp indexed · every row cited — open the case → #### Accountability built in PHI audit logging, case-level minimal access, and citations on every finding: a review process you can put in front of an auditor, a board, or a records request. #### Consistent decisions, documented The same structured, cited file for every claimant. Decisions that hold up across offices and survive appeal. Who this is for ### Every decision can be appealed, audited, or requested. Public programs answer to statute and scrutiny. Medrecords builds the review record accordingly: cited findings, logged access, minimal-access controls. Defensibility by default. Citations on every finding, ready for appeal PHI access logged end to end Consistent determinations across offices and staff Determination record · case B-4408 complete Findings cited — 14 sources attached — per finding PHI access log — 22 events, end to end — export Access control — case-level minimal — HIPAA Appeal packet — assembled in minutes — ready Ready for appeal, audit, or records request The objection ### "Can this pass our procurement and security review?" Deployment options, PHI audit logging, retention controls, and BAA/DPA availability: stated plainly on a page your procurement team can bookmark and forward. Diligence first; the demo can wait for the paperwork. [Request the security package ](https://medrecords.ai/security/) 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 [ — IME Physicians — Defensible IME opinions, faster](https://medrecords.ai/solutions/medical-evaluators/) [ — Claims Adjusters — Triage and settle sooner](https://medrecords.ai/solutions/insurance/) [ — Defense Lawyers — Surface the case-deciding fact](https://medrecords.ai/solutions/legal/) [ — Legal Nurse Consultants — Chronologies in a fraction of the time](https://medrecords.ai/solutions/legal-nurse-consultants/) [ — Expert Witnesses — Cited opinions, not paper chases](https://medrecords.ai/solutions/expert-witnesses/) [ — Life Care Planners & Vocational Experts — Cost projections built on the full record](https://medrecords.ai/solutions/life-care-planners/) [ — Social Security Disability Representatives — Years of records, one hearing](https://medrecords.ai/solutions/disability-representatives/) [ — Forensic Psychological Evaluators — Your report format, fully cited](https://medrecords.ai/solutions/forensic-psychological-evaluators/) Organizations [ — Insurance Carriers — Scale review across every claim](https://medrecords.ai/solutions/insurance-carriers/) [ — Law Firms — Litigation-ready case files](https://medrecords.ai/solutions/law-firms/) [ — TPAs & Case Management — Standardize across clients](https://medrecords.ai/solutions/tpas/) [ — Government & Public SectorYOU ARE HERE — Compliant, auditable records](https://medrecords.ai/solutions/government/) [ — IME Companies & Networks — One pipeline, every physician](https://medrecords.ai/solutions/ime/) [ — Self-Insurers — Claims reviewed like a carrier would](https://medrecords.ai/solutions/self-insurers/) [ — Disability Insurers — LTD/STD files, cited every cycle](https://medrecords.ai/solutions/disability-insurers/) [ — Settlement Administrators — Tier claims at MDL scale](https://medrecords.ai/solutions/settlement-administrators/) [ — VA C&P Exam Contractors — C-files, exam-ready on time](https://medrecords.ai/solutions/va-cp-contractors/) [ — Hospital Risk Management — Know the chart before counsel does](https://medrecords.ai/solutions/hospital-risk-management/) [ — Litigation Funders — Underwrite the file, not the pitch](https://medrecords.ai/solutions/litigation-funders/) [ — Medical Funders & Lien Networks — Fund the treatment, verify the file](https://medrecords.ai/solutions/medical-funders/) Use Cases [ — Social Security Disability — Timeline ready before the hearing](https://medrecords.ai/solutions/social-security-disability/) [ — Personal Injury Plaintiff — Cited evidence on demand](https://medrecords.ai/solutions/personal-injury-plaintiff/) [ — Personal Injury Defense — Verify specials, flag the gaps](https://medrecords.ai/solutions/personal-injury-defense/) [ — Veteran Disability — Timeline built before the exam](https://medrecords.ai/solutions/veteran-disability/) [ — Workers' Compensation — Track treatment and gaps](https://medrecords.ai/solutions/workers-comp/) [ — Mass Tort — Qualify claimants at scale](https://medrecords.ai/solutions/mass-tort-case-review/) [ — Medical Malpractice — Reconstruct the timeline](https://medrecords.ai/solutions/medical-malpractice/) [ — Auto Bodily Injury Claims — Specials and causation, cited](https://medrecords.ai/solutions/bodily-injury-claims/) [Not sure which fits? Talk to us about Enterprise ](https://medrecords.ai/demo/) ### Request the security package. Procurement first: deployment options, PHI logging, retention controls — then the demo, when you're ready. [Book a demo](https://medrecords.ai/demo/) [Request the security package ](https://medrecords.ai/security/) ### More solutions - [**Cut review time and leakage — with an audit trail.** — Upload the claim file. Get the cited summary, chronology, and flagged findings before your first read: every…](https://medrecords.ai/solutions/insurance/) - [**Deposition summaries, cross-checked against the medical record.** — Page-line, topic, and narrative formats in minutes — because the transcript lives next to the medical file…](https://medrecords.ai/solutions/deposition-summary/) - [**Every BI claim, read the same way.** — Evaluate specials and causation on the cited medical record, not the demand letter narrative. Built for BI…](https://medrecords.ai/solutions/bodily-injury-claims/) - [**Every C-file, exam-ready before the appointment.** — Service and private medical records merged into one cited timeline before the veteran's exam. Built for C&P…](https://medrecords.ai/solutions/va-cp-contractors/) - [**Every claimant scored against the same matrix — with the page behind each element.** — Docket-scale claim scoring support against court-approved allocation matrices. Every scored element cited to…](https://medrecords.ai/solutions/settlement-claim-scoring/) - [**Every claimant's records, reviewed against the same criteria — the docket sorts itself.** — Docket-scale record review and case screening: qualification criteria run across every claimant file, gaps…](https://medrecords.ai/solutions/mass-tort-case-review/)