Today
An RFA written from memory, denied, re-requested, denied again.
With Chiron
Your plan prose becomes structured orders, the RFA builds itself, and you are warned before re-requesting what IMR already upheld a denial of. Denials get an IMR appeal with a drafted rationale.
Treatment plans and RFAs
Write the plan the way you think; Chiron turns it into structured orders and builds the RFA — and stops you re-requesting what was already denied.
- Turns free-text plan prose into structured treatment entries for the RFA builder.
- Warns before you re-request a treatment UR already denied and IMR upheld — the request that would only be denied again.
IMR appeals
Every IMR-eligible denial gets an appeal record, a drafted rationale and a hashed packet — before the window closes.
- Drafts each rationale section supporting the appeal, grounded in the case record, for the physician to edit.
- Assembles rationale and exhibits into one finalized, hashed PDF packet.
- A daily sweep opens appeal records for IMR-eligible UR decisions that are missing one, and sends tiered deadline alerts.
Statutory clocks, counted
UR, IMR, QME panel, P&S, PR-2, §4603.2 and §4622 — counted in the right kind of day, with alerts before they lapse.
- One deadline engine computes the statutory clocks — UR §4610, P&S/MMI, reporting obligations, §4603.2/§4622 payment, QME panel windows — in business or calendar days as the rule requires.
- Tracks every reporting duty on a case — PR-2, PR-4, Form 5021, pesticide §6409, P&S — with who it must be served on.
- Every morning, approaching and overdue deadlines are flagged, and reports that were never transmitted are caught.
- QME §36/§38 report deadlines, extensions and late-report warnings are tracked per evaluation.
- A suspected pesticide poisoning on an exam raises the 24-hour report obligation automatically.