Adjusters inherit claim files thousands of pages deep — records, bills, statements. Manual review drags out every determination, and it's exactly where leakage slips through unnoticed.
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.
Built for claims determinations.
You shouldn't have to patch together PDFs, bill review spreadsheets, and adjuster notes to settle a claim. Medrecords gives you one structured, auditable view — ready for the determination.
Triage the queue, not just the file
Configurable workflows sort, route, and prioritize claims documents automatically — so every adjuster opens a file that's already organized, and the complex claims surface first.
Standardize review across every desk
The same structured, cited output on every claim — across adjusters, offices, and TPAs. Expert-verified before it reaches the desk, consistent enough to audit.
You have 40 open files. Reserves are due Friday.
Adjusters live between the queue and the deadline. Medrecords does the first read on every file — triage takes minutes, the red flags come to you, and the determination is defensible on the first pass.
"Will this hold up if the file gets audited or litigated?"
Every finding is traceable to its page; every PHI access is logged. The audit trail isn't a feature bolted on for compliance — it's the product. Your file notes cite the same sources the auditor sees.
"The flags queue changed my mornings. I open files that are already triaged — and every flag has a page number I can put in my notes."
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.
Run one claim file through it.
Pick your messiest open file. See what it flags — and what the flags cite.