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SETTLEMENT COMPLIANCE RECORD REVIEW

The lien and the set-aside both turn on which treatment belongs to the injury — decided after the case is closed.

Settlement compliance record review — lien resolution, Medicare set-aside allocation, structured settlement underwriting — asks the same underlying question: which treatment lines belong to the injury. Medrecords AI reads the treatment record line by line against the published methodology, after the case has resolved, with CMS or the carrier as the reviewer, and cites every determination to its source page.

Click any chip → the source page it cites
Case file · post-settlement record 2 packets
342 pages read, across 2 packets
Treatment lines — logged by date
11 duplicate pages — removed
Wrong-patient page — quarantinedp.140
File ready for the lien position or MSA submission
The status quo

Every treatment line needs an injury-relatedness call before the lien is resolved or the set-aside is submitted, and the case has already closed by the time anyone starts reading the file page by page. The file has to survive a reviewer who checks every line.

every line
graded individually, in writing, by CMS
13,884
FY2025 WCMSA determinations, one review contractor
5-level
appeal ladder when a disputed line is rejected
Treatment ledger · injury-relatedness line-by-line
pre-injuryPrior knee treatment — excluded
post-injuryArthroscopic surgery — included
disputedUnrelated-condition line · flagged
submissionCMS / carrier review submitted
Every treatment line cited to its source page
How it works

Three steps between intake and a file ready to submit.

01

Upload the treatment record and settlement documents

The full treatment history and the settlement paperwork — scans, PDFs, faxes, handwriting — however they arrive.

02

The AI itemizes treatment lines against the injury, cited

Every treatment line placed against the injury with a source citation, duplicates removed, mismatched-patient pages quarantined.

03

Build the lien position or MSA submission

Verify any line with a click, then use the itemized ledger to build the lien resolution position or the MSA allocation submission.

Organizes the record. Never sets the dollar figure.

It itemizes the treatment. The determination is the reviewer's.

Every treatment line in the itemized ledger carries its source page, so when a line is disputed as unrelated to the injury or contested in the allocation, the position can point to exactly where.

What it never does: set the lien amount or the MSA allocation dollar figure, determine CMS approval, or give a legal opinion on treatment relatedness. It organizes and cites the treatment record behind the determination — the determination stays with the preparer.

Indexing & dedup 11 duplicates removed
Duplicate treatment pageduplicate ×2
Wrong-patient page, p.140quarantined
One itemized treatment ledgerready for submission
342 pages read, 2 packets merged, 1 quarantined
Why Medrecords AI

The rules the platform never breaks.

Medrecords AI EVERY LINE CITED
CASE #IME-4812 · ADAMS, T.342 pp
2/14 — ER visit, right knee p.4
4/18 — arthroscopic surgery p.61
p.140 — wrong patient quarantined
Medrecords AI
Read every page · cite every line

HIPAA, under a signed BAA

Every file is handled under our Business Associate Agreement, from the first byte.

Never trains a model

Your records are never used to train any AI model — ours or anyone else's.

Every line cited

If we can't cite it, we don't say it. Every sentence links to its source page.

Deleted after delivery

Files are deleted 30 days after delivery, with a full audit log of every access.

Powered by the platform

Four capabilities behind every settlement compliance file.

Treatment-line itemization is one deliverable of the same platform that reads, sorts, and cites the whole file.

FAQ

Settlement compliance record review, answered.

This lane covers three case types. Lien resolution & Medicare Secondary Payer compliance is reviewed line by line under 42 USC §1395y(b) and 42 CFR Part 411 by CMS's Benefits Coordination & Recovery Center, with a five-level appeal ladder for disputed lines. Medicare Set-Aside (WCMSA/LMSA) allocation is reviewed against the CMS WCMSA Reference Guide by the Workers' Comp Review Contractor. Structured settlement rated-age underwriting submits one packet and gets 4-8 independent rated ages back from carriers within 24-72 hours. See the Medicare Set-Aside case-type page →

No. Medrecords AI organizes and cites the treatment record — it never calculates a lien resolution amount or a set-aside allocation dollar figure. That determination belongs to CMS, the carrier, or the reviewing attorney.

No. It itemizes the treatment lines against the injury with citations, so the preparer can make the relatedness call. It never asserts that a line is or isn't injury-related — that determination stays with the preparer.

No. Medrecords AI does not file with CMS or submit the WCMSA package on your behalf. It organizes and cites the treatment record; you build and file the submission.

A flat 10¢ a page, duplicate pages free. A 1,800-page file is priced the same way as a 50-page one: by the page, with every line cited.

Yes. Lien resolution, MSA allocation, and structured settlement underwriting all start from the same underlying treatment-record review — itemized treatment lines, cited to source pages.

Itemize one treatment record with it.

AI organizes and cites. You build the position.