# Medical Record Review for Peer Review & UR — Medrecords AI > Medical record review for UR and peer review teams — treatment history matched and cited to clinical criteria before the determination is due. Canonical page: https://medrecords.ai/solutions/peer-review/ --- 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/) › — Peer Review & Utilization Review Medical record review for UR & peer review teams ## One necessity determination. Every reviewer, same standard. Medical record review for utilization review and peer review teams — treatment history organized and cited against clinical criteria before the determination is due, so medical necessity decisions hold up on appeal. [Book a demo](https://medrecords.ai/demo/) [Test a file ](https://medrecords.ai/test-a-file/?src=solutions-peer-review) UR request · organizing review-ready 280 pp → 3 providers, sorted & deduplicated Treatment-to-criteria match — cited to guideline & page Conflicting diagnosis codes — flagged across providers Built for the queue, not just the file. The status quo same file, different reviewer, different answer turnaround measured in hours under URAC/state deadlines one uncited denial is an appeal waiting to happen ### Open a referral that's already organized. Everything the exam needs — structured, surfaced, and sourced. Medrecords organizes the referral, builds the chronology, and drafts the history with citations, so your time goes to the evaluation and the opinion. IME report · from your template — QME-104 p.31 p.212 p.640 #### Custom reports: your letterhead, your voice Report templates draft the history and records review with inline citations. You add the findings and the opinion. Export clean, in your format, every time. Chronology · by date 2019 — Prior injury · lumbar strain, pre-DOI Feb 11 — Date of injury — ER visit May 22 — MRI — Lumbar imaging placed inline Jun 01 — Gap in care · 47 days Jul 17 — Orthopedic consultation #### Automated chronology: the history in order Prior injuries, treatment, imaging, and gaps — every event dated, sourced, and in sequence. The whole medical history scannable before the claimant walks in. Duplicate sets · 4 — Match similarity Ambulance Call Report — multiple — Review Consultation Report — 84% — Review Progress Note — 87% — Review Remove all duplicates #### Dedup & indexing: shrink the packet first Referral packets arrive bloated with duplicates and misfiled pages. Medrecords removes the redundancy and indexes what remains — so you read each page once. Cross-checked · multi-model — Referral #M-2210 Claimant name — Jane Doe — ✓ Date of injury — 2024-02-11 — ✓ Diagnosis — Lumbar disc herniation — ✓ Prior injury — 2019 lumbar strain — ✓ Treatment to date — PT ×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 referral ### 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 →](https://medrecords.ai/product/ime-medical-legal/) 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 — Imaging Reports 03 — Aug 06 — Physician Notes 612 pp indexed · every row cited — open 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. #### You make the calls — always AI does the reading, every line stays reviewable and traceable, and verification is one 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. UR nurses and physician reviewers at carriers, TPAs, and independent review organizations who justify a necessity decision against the record and the criteria, on a deadline. 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 note — p.212 EMG negative — 6 weeks later — conflict · p.388 Prior claim, same body part — 2021 — p.63 ROM measurements — all visits, compared — table Contradictions found for you — conclusions stay yours The objection ### “Does this make the medical necessity call for us?” No — it lines up the treatment record against your criteria and cites every match or gap. The determination, and the signature on it, stays yours. Built for the defensible determination. 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 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/) FAQ ### Peer Review & Utilization Review, answered. Yes — criteria sets are configurable per client and cited the same way as the medical record. Built for same-day; exact turnaround depends on file size — ask for a benchmark on your typical file. Yes — the record read is the same; only the question being asked changes. CONTENT HUB The Content Hub covers medical-legal record review across IME and QME, workers’ compensation, personal injury, disability and life underwriting, mass tort, and payer integrity. Free, no login. [Browse the Content Hub ](https://medrecords.ai/content-hub/) ### Send your next UR file. Read the determination-ready summary. Then decide. [Book a demo](https://medrecords.ai/demo/) [Test a file ](https://medrecords.ai/test-a-file/?src=solutions-peer-review)