Decision support. Each mockup below is illustrative of product UI. Causation analyses, denial-risk scores, and DWC reports draft from the consultation context for your review and signature. ChironAI does not make a regulatory clearance claim; see Disclosures.
You didn’t train to be a regulatory clerk, a biller, or an expert witness. But a California workers’-comp visit asks you to be all three before you get to be a clinician. ChironAI™ OM carries the other four jobs — it reasons the case overnight, drafts the record, tracks every clock, and argues against its own determination before a carrier does. You read the reasoning, you edit what needs your voice, and you sign. The judgment stays yours.
Every encounter carries five roles, and only one of them is medicine. The other four are where the evenings go. ChironAI™ OM carries all four so the fifth — the medicine — gets the hours it deserves.
The part you trained for. Increasingly, the part you have the least time for.
Reconstruct mechanism, timeline, and prior history well enough to survive a challenge.
Track every DWC deadline against a California business-day calendar, by hand.
Code the fee schedule correctly and chase a payer that has 45 business days to pay.
Write today’s note as if opposing counsel will read it in a deposition — because they might.
While you were off shift, Chiron re-read every case that changed — a new lab, a new image, a message from a patient — and re-reasoned what it means. Nothing waits for you to notice it. By the time you sit down, the queue is already ranked by what actually needs you first.
Chiron leads the medical determination on Eve-Healthcare™ F5/reasoner, a composed reasoning architecture — and the case itself decides who else sits at the table. Justine convenes on apportionment. Issac assesses denial risk on every case, no exceptions. Theo opens automatically the moment Chiron’s own confidence drops below 70% — a second opinion the case asked for, not one you have to remember to request.
Before you ever see it, each specialist’s finding is self-checked against the record: what would opposing counsel argue, and did the reasoning invent anything not actually in the chart. You can open the live reasoning trace and watch which guideline it retrieved and which specialist it called — and which it deliberately did not. It is a claim you can open, not an answer you have to trust.
Must review before final
Decision-support output. Clinician review and attestation required before this content is signed into the chart.
AOE/COE - industrial. The mechanism (floor-level lift, 65 lb) is consistent with the L4-L5 disc herniation newly demonstrated on the 2025-11-12 MRI and absent on the only prior lumbar imaging. Documented prior low-back episodes were transient with full work capacity between them.
Specialists consulted
Consulted because the case raises apportionment.
Substantial-evidence standard met (Escobedo). Prior episodes were transient with full work capacity between - no basis for a §4664 prior-award offset. Apportionment to non-industrial cause is not supported on this record beyond documented degenerative change.
Consulted because lead confidence is below the 70% review threshold.
No bias indicators. The determination rests on objective imaging and mechanism of injury, not demographic priors. Conservative-approach check passed; recommend documenting the negative 90-day non-industrial history explicitly.
Consulted on every case.
Denial / IMR-challenge probability low (~18%). Recommend attaching the MRI comparison and the negative non-industrial history to preempt a utilization-review challenge.
Consulted only when a billing dispute is present - not triggered here.
Not consulted: no billing dispute on this case. (When present, Eli analyzes OMFS alignment and denial-cost exposure.)
Form 5021’s 5 business days, the PR-2 cadence, the §4610 UR windows (5-day standard, 72-hour expedited), §4610.5 IMR, and the §4062 QME steps are computed against the California business-day and holiday calendar and surfaced by a daily 07:00 review — not tracked in your head against a paper calendar.
Each form drafts itself from the consultation context you already documented. You read every section, edit where the language needs to be yours, and sign. The AB 3030 generative-AI attestation is non-dismissible and persists through the signed PDF.
Must review before final
Decision-support output. Clinician review and attestation required before this content is signed into the chart.
Generated with AI assistance under California AB 3030. Physician review and attestation required before submission to claims administrator.
Issac scores the denial probability and the downstream IMR-appeal risk on every request for authorization before it goes out, and names the specific evidence that is missing — the same adversarial read a utilization reviewer or a defense QME would give it. Where it cannot yet answer a likely objection, it says so, rather than papering over the gap.
That is the point of running the case against itself first: the record you submit has already survived the argument a carrier would make, because the argument was made against it before you signed.
Must review before final
Decision-support output. Clinician review and attestation required before this content is signed into the chart.
Standard utilization review: 5 business days (§4610). Expedited: 72 hours if urgent.
Denial probability
22%
IMR appeal risk
11%
What the defense packet attaches
Agentic is not autonomous. ChironAI™ OM takes initiative — it convenes specialists, drafts forms, scores risk — but the boundary between what it can do and what only you can do is written into the system, not left to a setting.
Every draft — causation analysis, PR-2, RFA, defense packet — carries a must-review-before-final gate enforced where the record is written, not just in the interface. There is no code path that reaches a payer or the chart without your signature.
Impairment combination (AMA Guides 5th), the §4664 prior-award offset, the PDRS calculation, and the §4062 QME panel sequencing run as versioned, auditable engines. The reasoning is agentic; the arithmetic that must be exact is code, and the AI cannot overrule it.
Every AI-drafted report carries its generative-AI attestation as a non-dismissible element, persisted through the signed PDF — not a banner that disappears once you click past it.
If the system is ever unsure whether a denial qualifies for Independent Medical Review, it fails open. A worker’s IMR window is never silently lost to an AI’s hesitation.
§4610(g)(2) auto-authorization triggers are detected and surfaced automatically — one fewer statutory clock you have to remember exists.
Once you sign, a SHA-256 hash binds your attestation to the exact rendered PDF. Four public, no-login, zero-PHI endpoints — IMR, QME, PTP-QME, closure — let a carrier, a QME, or a judge confirm it is unaltered since you signed it.
The denial-risk score and the evidence to attach arrive before the RFA goes out, not after it bounces.
Form 5021, the PR-2 cadence, §4610 UR windows, §4610.5 IMR, and the §4062 QME steps are computed on the California calendar and surfaced daily — not tracked from memory.
The forms draft from the consultation context. You read every section, edit where it needs your voice, and sign — you are not authoring from a blank page.
Versioned, audit-trailed, cryptographically verifiable, and already war-gamed against the arguments a carrier or a QME will raise.
We do live walkthroughs with practicing WC physicians on real (de-identified) cases. The best way to evaluate ChironAI™ OM is to bring an active case file and watch it get worked, drafted, and defended.