# Texas Chapter 74 Expert Report Record Review > Page-cited record review for Texas §74.351 expert reports — the file read in full before your expert writes, at a flat 10¢ a page, duplicates free. Canonical page: https://medrecords.ai/solutions/texas-certificate-of-merit/ --- NewWe now read the actual MRI and CT imaging — not just the radiologist's 1-page report. [See how →](https://medrecords.ai/product/imaging/) [Home](https://medrecords.ai/) ›[Solutions](https://medrecords.ai/solutions/) › — Texas Chapter 74 Expert Report TEXAS CERTIFICATE OF MERIT RECORD REVIEW ## 120 days from the answer. Dismissal with prejudice if you miss. Texas certificate of merit record review services prepare the page-cited record an expert reads before writing a Chapter 74 expert report. Every encounter, finding and imaging study is indexed to its source page, so the standard-of-care and causation opinions in the report rest on a file that has actually been read. [Test a file ](https://medrecords.ai/test-a-file/?src=texas-certificate-of-merit) [Book a demo](https://medrecords.ai/demo/) Click any row → the source page it cites Record review · Case #IME-4812 documented Adams, Timothy · health care liability file 342 pp / 2 packets received logged 11 duplicate pages removed free p.140 — wrong patient quarantined Pages 342 Documents 27 Cited 100% ### Section 74.351 names the report. It also names the penalty. We do not build for a case type until we can name the standard that defines a correct output and the person who grades the file against it. In merit screening, both are written into the rule itself. The standard and the referee The rulebook - Tex. Civ. Prac. & Rem. Code §74.351(a), which requires service of an expert report and curriculum vitae on each party within 120 days after that defendant's original answer is filed - §74.351(r)(6), which defines the report as a fair summary of the expert's opinions on the applicable standard of care, the manner in which the care failed to meet it, and the causal relationship to the injury - §74.351(c), the single thirty-day extension a court may grant where a report is served but found deficient - Chapter 74 as a whole, which governs health care liability claims in Texas The referee - The trial court on a §74.351(b) motion to dismiss, where the remedy is dismissal with prejudice plus reasonable attorney's fees and costs - The appellate courts, which review the sufficiency of a report for abuse of discretion - The retained expert, whose report has to state the standard, the failure and the causal link in enough detail to be more than conclusory Expert hours reading a full chart against a 120-day statutory clock Flat 10¢/page here, duplicates free Record review · Case #IME-4812 cited 100% Packet — 342 pp / 2 packets · 11 deduplicated — logged Encounter chronology — Built from the produced record — cited Findings and imaging — Each result at its source page — cited Records referenced, not produced — Named in the chart, absent from the file — flagged Review delivered · cited 100% · no standard-of-care opinion offered How it works ### 3 steps between the records and the report. 01 #### Send the record set Hospital charts, office notes, operative and imaging reports, nursing records and billing, in any format. 02 #### We return the review, page-cited The encounter chronology, findings, imaging and medication history, each line citing the page it came from, with referenced-but-absent records flagged. 03 #### Your expert writes the report The standard of care, the manner of the failure and the causal relationship under §74.351(r)(6) are the expert's opinions, in the expert's own report. The boundary, in writing ### A record review, never an expert report. We index and cite what the record documents. We do not state the applicable standard of care, opine that it was not met, address causation, or draft or sign a Chapter 74 expert report. Section 74.351(r)(6) makes all three of those the expert's opinions, and they stay with the expert. The 120-day clock runs from each defendant's original answer, not from filing, so a multi-defendant case carries more than one deadline. The review is organised by defendant and encounter so a per-defendant report is a read, not a re-sort. Audit trail · Case #IME-4812 exportable 08:12 — Packet received · 342 pp / 2 packets — system 08:31 — 11 pages deduplicated — system 08:44 — p.140 flagged — wrong patient — system 08:54 — Record review complete · review complete · chronology cited · cited 100% — system 09:20 — Record review reviewed · citations verified — reviewer 09:26 — Record review exported · expert report served off-platform — reviewer Every access logged · file deleted 30 days after delivery Why Medrecords AI ### The rules the platform never breaks. 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 ### 4 capabilities behind every record review. The record review is one deliverable of the same platform that reads, sorts, and cites the whole record. [ #### Medical Records OCR Every page read in full — hospital charts, operative reports, nursing flowsheets, handwritten notes — nothing skipped, nothing guessed. IN ACTION · 342 pp / 2 packets → 27 documents, read in full ](https://medrecords.ai/product/ocr/) [ #### Medical Chronology The course of care builds itself into one timeline, so the sequence the causation opinion turns on is visible on a single axis. IN ACTION · first presentation → injury → current treatment, one continuous timeline ](https://medrecords.ai/product/chronology/) [ #### Verifiable AI Citations If we can't cite it, we don't say it. Every line of the review links to the page range behind it. IN ACTION · review → cited 100% ](https://medrecords.ai/product/citations/) [ #### Medical Summary Reports The review formats straight into the expert's working file — your template, your letterhead. IN ACTION · record review → report-ready ](https://medrecords.ai/product/summaries/) FAQ ### Texas Chapter 74 expert reports, answered. No. Section 74.351(r)(6) defines the report as the expert's fair summary of their own opinions on the standard of care, the failure to meet it and causation. We prepare the page-cited record review the expert reads before writing it. Under §74.351(a) the period runs from the date each defendant's original answer is filed, not from the date the claim was filed. In a multi-defendant case that produces separate deadlines, and the review is organised by defendant so each one can be worked independently. Section 74.351(c) allows a court a single thirty-day extension where a report has been served and is found deficient. A report that is never served is a different situation, and the statutory remedy on the defendant's motion is dismissal with prejudice plus attorney's fees. No. Medrecords AI does not retrieve records from providers or facilities. You bring the records you already have — review starts in minutes from upload. Retrieval vendors take days; you can keep yours and still cut the review to minutes. No. Causation is one of the three elements the statute assigns to the expert. The review carries the documented sequence and findings, each cited to a page, and leaves every opinion in the report to the expert who signs it. ### Send one file. We'll tell you what we can read. No obligation. If the case type is buildable we'll scope it; if it isn't, we'll say so. [Test a file ](https://medrecords.ai/test-a-file/?src=texas-certificate-of-merit) [Book a demo](https://medrecords.ai/demo/) [See every case type we process →](https://medrecords.ai/solutions/case-types/)