Decision support. ChironAI drafts every DWC and QME report from the consultation context. The physician edits every section and attests before a report is finalized or filed. ChironAI does not make a regulatory clearance claim; see Disclosures.
California’s DWC reporting framework is the most exacting workers’ compensation regulatory regime in the United States, and ChironAI OM runs against it in production today. Chiron does not merge a template — it reasons each report from the consultation context and drafts a narrative, physician-attested document against the full framework: Form 5021, PR-2 progress reports, PS/MMI determinations under §4061, and the QME §4628 report. Underneath the drafting sits the part that cannot be a template either: every statutory clock encoded and holiday-aware, an AB 3030 / SB 1120 / AB 489 attestation gate enforced at the data layer, and a public cryptographic signature on every report that leaves draft status.
Doctor’s First Report of Occupational Injury or Illness
Deadline: 5 business days from first treatment
Trigger. First medical evaluation of an industrial injury or illness.
Deadline computed with the California state holiday calendar. The form mapper visualizes every section before sign-off, with field-level provenance back to the source consultation data.
Primary Treating Physician’s Progress Report
Deadline: Every 45 days or on material change
Trigger. Continuing care after the 5021, with progress reportable on the rule cadence.
Auto-drafted from the consultation context. Physician edit on every section before signature. Material-change triggers (return to work, new disability, change in treatment plan) accelerate the cadence.
Permanent and Stationary / Maximum Medical Improvement
Deadline: On clinical milestone, with QME timeline overlay
Trigger. When the patient reaches MMI under the treating physician’s judgment.
Triggered by the clinical milestone, not by elapsed time. The system surfaces the milestone as a candidate, the physician declares it, and the corresponding §4061 determination drafts against it.
Must review before final
Decision-support output. Clinician review and attestation required before this content is signed into the chart.
Patient
WC-2026-04812
Date of injury
2025-11-04
Remaining fields require physician input or attestation. None can be auto-filled past this point.
Deadline approaching
PR-2 due in 5 business days (California holiday calendar applied). The daily 07:00 cron will continue to surface this report until signed.
A qualified medical evaluator report under Labor Code §4628 is a comprehensive medical-legal document, not a progress note. ChironAI OM structures the draft into the required elements and runs a compliance checklist against the draft continuously — not at submission time, but as the report is written.
If a required element is missing, finalize is blocked at the data layer. The physician can see exactly which element is outstanding and why the signature step is unavailable until it is resolved. This is not a soft warning the physician can dismiss; there is no code path that produces a finalized QME report with a missing required element.
Finalize blocked
The basis-for-opinion element is missing its records and citations. Physician certification cannot proceed until it is added — the signature step stays disabled, not just discouraged.
A claim doesn’t run on one deadline. It runs on five, ticking at the same time, each with its own unit (business days, calendar days, mail days) and its own trigger event. ChironAI OM computes every one against the same California holiday calendar.
From first medical treatment of the industrial injury.
Continuing-care reporting cadence, accelerated on a material-change trigger.
Standard, expedited, and retrospective utilization-review timeframes.
Independent medical review determination, plus the statutory mailing allowance.
Tracked and surfaced; specific day-counts remain under active counsel review.
California observes eleven state holidays. Each one moves a business-day deadline by one or more days, and the arithmetic is anchored to the current calendar, not a static table. Every weekday at 07:00, an operations cron walks every open report and every open clock across the practice and surfaces approaching deadlines (due within 3 business days), overdue reports as a critical surface, and the current PR-2 cadence window — then escalates what it finds. No one has to remember; the system surfaces, every morning, on every clock.
Three California statutes layer onto every AI-drafted regulatory report: AB 3030 requires disclosure that generative AI helped produce clinical communications; SB 1120 requires that decision authority sits with the licensed physician, not the AI; AB 489 prohibits an AI system from holding itself out as a licensed professional. ChironAI treats compliance with all three as one attestation, not three separate checkboxes to remember.
The gate lives at the data layer, not the UI. A DWC report, a QME opinion, or a closure determination cannot be finalized — cannot be signed, cannot be exported, cannot leave draft status — until the physician acknowledges the AI-drafting disclosure and confirms the determination reflects their own professional judgment. There is no code path that skips the gate.
We frame this as a strength because it is one, stated honestly: a claims administrator, a regulator, or an applicant’s attorney examining a ChironAI-produced report can trust that every one carries the attestation, because the system cannot produce one that doesn’t. See Disclosures for the full disclosure text.
At the moment a physician signs, ChironAI binds a SHA-256 hash to the exact rendered PDF. That hash is checkable at four public, no-login, zero-PHI, rate-limited verification endpoints — one for each report type where the question “is this the document that was actually signed?” carries the most weight.
Independent medical review determinations.
Qualified medical evaluator reports.
Primary treating physician / QME composite reports.
Claim-closure determinations.
Report type
IMR determination
Signed
2026-06-18 09:42 PT
SHA-256 (rendered PDF)
8f1a2c7e4b90d3f6a1c8e2b7d4f0a9c3e6b1d8f5a2c9e0b3d6f1a4c7e2b9d0f8
Verified — unaltered since attestation
The hash of the document you are holding matches the hash recorded at signature time. No account, no login, and no protected health information were required to check this.