# Medical Review at Carrier Scale: Medrecords AI > Every file gets the same cited, auditable review, regardless of which adjuster, region, or TPA touches it. With the trail regulators ask for. Canonical page: https://medrecords.ai/solutions/insurance-carriers/ --- 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/) › — Insurance Carriers Medical record review for carriers ## One standard of medical review. Every desk. Every claim. Medical record review for insurance carriers holds one standard across every desk and every claim. Each file gets the same cited, auditable review regardless of which adjuster, region, or TPA touches it — with the documentation trail regulators ask for already built into the file. [Book a demo](https://medrecords.ai/demo/) [Estimate Your ROI ](https://medrecords.ai/plans/self-service/) Book view · Q2 across all desks portfolio 1,208 claims reviewed · 100% cited 312 gap flags 86 billing flags 54 prior flags Same cited output — every desk, region, and TPA — One standard PHI access logged on every file — exam-ready The book, measurable — not 200 versions of it The status quo Across a book of business, review quality varies desk to desk. Slow files inflate cycle time and reserves, and *small leaks compound into material indemnity loss.* 200 desks — 200 standards of review post-pay where leakage gets found today exam time when inconsistent handling surfaces ### 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 — Claim #48-2211 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 the book, not just the file. Consistency is the carrier's edge. The same structured, cited output on every claim — measurable, auditable, and ready to scale. 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 → #### Consistent output across every desk Every adjuster starts from the same organized, cited file — so quality doesn't depend on who caught the claim, and audits read the same everywhere. #### Leakage caught before it pays out Treatment gaps, duplicate billing, and unsupported charges flagged with sources across the whole book — not discovered in the post-mortem. Who this is for ### You run 200 desks. Quality can't depend on which one answers. At carrier scale the risk isn't one slow file — it's variance. Medrecords gives every desk the same structured, cited starting point, so cycle time, leakage, and audit results move together. One review standard across lines, desks, and regions Leakage flagged with sources before it pays out PHI audit logging on every file, every access Book view · Q3 to date One standard 1,208 claims processed — same cited output — all desks Leakage flagged YTD — $1.2M, sourced — cited Audit exceptions — zero this quarter — PHI logged New desk onboarded — same output, day one — no ramp Variance is the risk — consistency is the product The objection ### "Can we deploy this at our scale, on our terms?" Deployment options, tenancy, API integration through Connect, and PHI audit logging on every file: answered inline, in writing, before the pilot starts. Per-desk consistency is the point; per-desk configuration is not required to get it. [The security & deployment page — built for your review team ](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 CarriersYOU ARE HERE — 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 Sector — 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/) ### Book an executive briefing. Commission a pilot on your own claim sample — deployment, tenancy, and the audit trail on the table. [Book a demo](https://medrecords.ai/demo/) [Test a file ](https://medrecords.ai/test-a-file/?src=solutions-insurance-carriers) ### More solutions - [**One standard of review: across every client program.** — Hit every SLA, standardize quality across every desk and client, and walk into renewals with the audit trail…](https://medrecords.ai/solutions/tpas/) - [**One written report. Per defendant. From the same 3,000 pages.** — Page-cited record review for Illinois 735 ILCS 5/2-622 affidavits — one written report per defendant, from a…](https://medrecords.ai/solutions/illinois-certificate-of-merit/) - [**Onset to the day — because the Table is measured in hours.** — Record review for VICP petitions. Complete-record assembly and onset chronology built to the Vaccine Injury…](https://medrecords.ai/solutions/vaccine-injury-record-review/) - [**Prep the opinion. Not the paper chase.** — Turn the full record into a cited chronology before your retention letter is a week old. Built for testifying…](https://medrecords.ai/solutions/expert-witnesses/) - [**Reconstruct the clinical timeline, hour by hour.** — Standard of care turns on sequence. Medrecords rebuilds the record in strict order — every event cited to its…](https://medrecords.ai/solutions/medical-malpractice/) - [**Review reports, affidavits, motion papers — AI-drafted, attorney-signed.** — Review reports, affidavit support, and motion drafts produced from the structured record in minutes, every…](https://medrecords.ai/solutions/legal-support-services/)