Compensability Review
A cited compensability file in days, well inside the state’s window to accept or deny.
Why it matters
Compensability turns on statements, medical history and timelines scattered across files; investigations drift while state presumption and dispute clocks run.
How the solution handles it
Five agents read every statement and record, build the timeline, check prior injuries and the state’s clocks, and draft a position letter with each fact cited. The adjuster weighs the file and decides to accept or deny.
How a claim moves
Five specialist agents read the statements, build the timeline, check prior injuries and state clocks, and draft; a claims adjuster decides.
What it reads, and what it hands back.
What goes in
- Recorded statements
- Employer incident report
- Medical records
- Witness statements
- Prior claims history
What comes out
- Cited compensability file
- Timeline of events
- Red flags with sources
- Draft position letter
Who uses it
The difference, in numbers.
Every figure is labelled: a target the solution is built to, an estimate, a typical published result, or a proven one.
Sources: Cal. Labor Code §5402 (90-day presumption) · Tex. Labor Code §409.021 (pay or dispute in 15 days) · “Target” = design goal, measured in the live solution · “typical” = published figures · “estimated” = our estimate
5 specialist agents. One person decides.
More in this division.
Every injury report becomes a coded claim the same day, with the state filing clock in view.
Medical Bill ReviewEvery medical bill repriced, checked and explained, and paid well inside the 45-day state clock.
Medical SummaryThousands of medical pages become a cited chronology and summary before the IME or hearing.
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