A physician reads every page.
Most review companies hand your case to nurses or paralegals and bill by the page. Here, a licensed physician analyzes every record — and returns a complete, signed work product in 24 hours at a flat rate.
- 24 hr
- Standard turnaround
- 60-80%
- Less than per-page billing
- MD
- On every deliverable
- 27B
- Parameter LLM assist
Seven deliverables. One flat rate.
Click each tab to see a sample. Every component is physician-authored and structured for litigation — not a generic records dump.
Medical Chronology
Date-ordered timeline of every relevant clinical event — provider visits, diagnoses, procedures, medications, and referrals — with source page references hyperlinked to the original records.
| Date | Provider | Event | Detail | Source |
|---|---|---|---|---|
| 01/15/24 | ER Physician | ED Presentation | MVA, c/o neck & back pain. CT C-spine: no fracture | ER p.12 |
| 02/03/24 | Pain Mgmt | Initial Consult | Cervical radiculopathy diagnosed. MRI ordered. | Note p.34 |
| 03/12/24 | Radiologist | MRI C-spine | C5-C6 disc herniation w/ cord compression SURGICAL FINDING | Img p.67 |
| 04/15/24 | Pain Mgmt | ESI C5-C6 | Fluoroscopic epidural steroid injection. Partial relief, 3 wks. | Proc p.72 |
| 06/22/24 | Spine Surgeon | ACDF Surgery | C5-C6 anterior cervical discectomy & fusion | Op Rpt p.89 |
| 09/20/24 | Spine Surgeon | Post-Op F/U | Hardware intact, fusion progressing. Continued PT. | Note p.104 |
Provider Summary Index
Quick-reference table of every treating provider — specialty, facility, date range, and visit count. Know exactly who to subpoena or depose.
| Provider | Specialty | Facility | Date Range | Visits |
|---|---|---|---|---|
| Dr. A | Emergency Medicine | Regional Medical Center | 01/15/24 | 1 |
| Dr. B | Pain Management | Spine & Pain Clinic | 02/03 – 05/28/24 | 14 |
| Dr. C | Orthopedic Spine Surgery | Surgical Center | 05/10 – 09/20/24 | 6 |
| Dr. D | Physical Medicine | Rehab Associates | 02/10 – 11/15/24 | 22 |
| Dr. E | Radiology | Imaging Center | 01/15 – 09/20/24 | 4 |
Medication Timeline
Every drug prescribed — generic name, drug class, dose, prescriber, and start date. Controlled substances are flagged, which matters for damages arguments and pain & suffering documentation.
| Medication | Class | Dose | Prescriber | Start |
|---|---|---|---|---|
| Hydrocodone/APAP | Schedule II | 10/325mg Q6h PRN | Dr. B | 02/03/24 |
| Gabapentin | Anticonvulsant | 300mg TID | Dr. B | 02/03/24 |
| Cyclobenzaprine | Muscle Relaxant | 10mg TID | Dr. D | 02/10/24 |
| Meloxicam | NSAID | 15mg daily | Dr. B | 02/03/24 |
| Methylprednisolone | Corticosteroid | Dose pack | Dr. A | 01/15/24 |
Procedure & Injection Log
Focused table of interventions — trigger point injections, epidurals, and surgery — with anatomical location, level, and outcomes. Shows the escalation from conservative to surgical treatment.
| Date | Procedure | Location / Level | Outcome |
|---|---|---|---|
| 02/20/24 | Trigger Point Injection | Bilateral trapezius | Temporary relief, 5 days |
| 03/18/24 | Trigger Point Injection | Bilateral cervical paraspinals | Minimal relief |
| 04/15/24 | Cervical ESI (fluoroscopic) | C5-C6 transforaminal | Partial relief, 3 weeks |
| 05/13/24 | Cervical ESI (fluoroscopic) | C5-C6 interlaminar | Minimal relief, 10 days |
| 06/22/24 | ACDF | C5-C6 | Conservative Tx Failed → Surgical |
Diagnostic Imaging Summary
Every CT, X-ray, and MRI in one table with findings and clinical significance. Critical findings are flagged so you know exactly where the case turns.
| Date | Study | Region | Key Finding | Significance |
|---|---|---|---|---|
| 01/15/24 | CT | C-spine | No fracture or subluxation | Rules out bony injury |
| 01/15/24 | X-ray | Chest | No acute process | Baseline |
| 03/12/24 | MRI | C-spine | C5-C6 herniation w/ cord compression | SURGICAL FINDING |
| 09/20/24 | X-ray | C-spine | Hardware intact, fusion progressing | Post-op confirmation |
Diagnosis Summary & ICD-10 Codes
Every diagnosis mapped to its ICD-10 code, date first documented, and causal relationship. Essential for billing analysis and damages calculations.
| Diagnosis | ICD-10 | First Documented | Causal Relationship |
|---|---|---|---|
| Cervical disc herniation, C5-C6 | M50.12 | 03/12/24 | MVA-Related |
| Cervical radiculopathy | M54.12 | 02/03/24 | MVA-Related |
| Cervicalgia | M54.2 | 01/15/24 | MVA-Related |
| Muscle spasm of back | M62.830 | 01/15/24 | MVA-Related |
| Chronic pain syndrome | G89.29 | 06/01/24 | Under review — may be pre-existing |
| Status post ACDF, C5-C6 | Z98.1 | 06/22/24 | MVA-Related |
Case Summary Cover Memo
Physician-authored letter summarizing key findings, treatment trajectory, and clinical observations — including a list of missing records your firm should obtain. This is where an MD makes the difference no AI, nurse, or paralegal can replicate.
"The patient presented to the emergency department on 01/15/2024 following a rear-end motor vehicle collision with complaints of acute onset neck pain and bilateral upper extremity numbness. Initial CT ruled out fracture, but persistent radicular symptoms prompted advanced imaging.
The MRI obtained on 03/12/2024 revealed a C5-C6 disc herniation with spinal cord compression — a surgical finding that explains the patient's progressive neurological symptoms despite aggressive conservative management.
Conservative treatment — including physical therapy (22 sessions), trigger point injections (2 series), and epidural steroid injections (2 fluoroscopic) — failed to produce lasting relief. The clinical trajectory demonstrates a clear progression to surgical intervention, consistent with the mechanism of injury.
⚠ Missing records that should be obtained:
• Pre-accident primary care records (prior 3 years)
• Complete operative report from index ACDF surgery
• Post-surgical physical therapy notes (currently partial)
• Pre-existing cervical imaging for comparison, if any
• Pharmacy records to verify medication timeline"
Flat-rate. No hourly. No page counts.
Every service includes physician review, a signed deliverable, and 24–48 hour turnaround.
Medical Chronology
Date-ordered clinical timeline with source page references. The foundation of any case.
Merit Screening
Physician case viability assessment. Clear answer on whether the medicine supports a claim — before you invest in litigation.
Narrative Summary
Clinical narrative translating dense records into plain language — attach to demand letters, mediations, or briefs.
Full Case Workup
All seven deliverables in one package — chronology, provider index, medications, procedures, imaging, ICD-10, and cover memo.
Expert Witness Prep
Case package built physician-to-physician. Your expert gets framed clinical issues, not unsorted records.
IME Rebuttal & Audit
Physician review of IME findings against actual records. Identifies inconsistencies, omissions, and unsupported conclusions.
Your case doesn't end when the report lands.
Most services hand you a PDF and disappear. I stay on the case.
Second-Look Review
New records arrive? Late discovery? Focused supplemental review that updates your chronology and analysis — not a full-price restart.
Specialist Prep & Referral
Need a specific expert? I help identify the right specialist, prepare the clinical package, and frame key questions physician-to-physician.
Deposition & Trial Support
Focused analysis on clinical questions that arise during litigation. Opposing expert report? Deposition transcript? That's what I'm here for.
Who is actually handling your client's records?
When you send records to a review service, you're trusting their entire chain of custody — every employee, every subcontractor, every software tool. Unless you have a written guarantee, you don't know.
The privilege you assume may already be gone
In United States v. Heppner, No. 1:25-cr-00503 (S.D.N.Y. Feb. 18, 2026), Judge Jed S. Rakoff ruled that sharing information with a public AI platform constitutes disclosure to a third party — destroying both attorney-client privilege and work-product protection.
The court held that AI platforms are "plainly not an attorney," that no "trusting human relationship" can exist with an AI, and that privacy policies permitting data reuse eliminate any reasonable expectation of confidentiality.
— Judge Jed S. Rakoff, S.D.N.Y., February 2026
This ruling applies directly to your vendors. When a nurse, paralegal, or review company employee pastes your client's medical records into ChatGPT, Claude, Gemini, or any cloud AI — the privilege chain is broken. And you may never know it happened.
A recent analysis found that 71% of healthcare workers use personal AI accounts for work tasks, while 96% of healthcare organizations use AI tools that train on user data. Unless you've verified otherwise, the people reviewing your records are almost certainly using unsecured AI tools.
Ask your current vendor these questions:
- ✕ Does every person who touches my records work under a signed Business Associate Agreement?
- ✕ Do any of your nurses, paralegals, or staff use ChatGPT, Claude, Gemini, or similar AI tools during review?
- ✕ Where is the AI processing happening — on your servers, or a third-party cloud?
- ✕ Can you provide written proof that no PHI is ever transmitted to any external API?
- ✕ Do you carry professional liability (E&O) insurance that covers data breaches?
- ✕ What happens to my client's records after the review is complete? How are they destroyed?
If they can't answer every question in writing, your client's PHI is at risk — and so is your firm. HIPAA violations carry fines of $5,000 to $250,000 per violation, potential license sanctions, and class action exposure.
27-billion parameter LLM runs 100% on local encrypted hardware. No cloud uploads. No third-party APIs. No external data transmission. Your client's records never leave my physical machine.
Every engagement includes a signed BAA, professional liability insurance, AES-256 encryption at rest, TLS 1.3 in transit, and complete record destruction after case completion. One physician, one machine — start to finish.
Your case doesn't have weeks to wait.
Industry comparison
Why it's faster
- →Local 27B LLM handles extraction — no waiting on third parties
- →Physician reviews, corrects, and signs every deliverable
- →No handoffs — one physician, start to finish
- →No queue. Your case gets immediate attention.
Four steps. No complexity.
What changes when a physician does the work
Typical outsourced review
How we do it
Built to protect your firm
Your records never touch a third-party server.
No cloud uploads. No offshore processing. No AI platforms with unknown data policies. Everything runs on local encrypted hardware behind a HIPAA-compliant safety firewall.
- ✓ 27B LLM running 100% locally
- ✓ HIPAA safety firewall on all AI processing
- ✓ Full-disk AES-256 encryption at rest
- ✓ TLS 1.3 encrypted transfer in transit
- ✓ BAA executed on every engagement
- ✓ E&O professional liability insurance
- ✓ Records destroyed after completion
Send me your toughest case.
You'll see the turnaround, quality, and cost difference before you sign anything.
Typical response within 2 hours · Second-look reviews on every case