ChironAI™ OM · for primary treating physicians and occ-med clinics

See the patient. Chiron handles the claim around them.

Treat, request, report, reconcile — three stories every treating physician lives, each with a clock running.

Book a demo Model your numbers

01 · PTP & occupational medicine

Getting treatment approved

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.

02 · PTP & occupational medicine

Keeping the reports current

Today

PR-2s overdue, the P&S report waiting on a quiet afternoon that never comes.

With Chiron

Every reporting duty is tracked to whom it must be served; PR-2 and PR-4 narratives are drafted from the visit record for you to edit and attest.

PR-2 and PR-4, drafted

Progress and permanent-and-stationary reports drafted from the visit record, with every obligation tracked to whom it must be served.

  • Chiron drafts the narrative sections of PR-2 and PR-4 reports from the case record; the physician edits and attests.
  • Generated reports run through a chain-of-verification step built to catch statements the record does not support.
  • Only the physician can attest a report.

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.

Dictate, or speak to the case

Dictate the visit, or ask the case a question out loud — and keep your eyes on the patient.

  • Transcribes dictation, and fails loudly rather than invent text when a recording is empty.
  • A live voice session lets the physician ask questions of the case file.

03 · PTP & occupational medicine

When the QME disagrees

Today

A forty-page QME report contradicts your findings and the response is yours to write.

With Chiron

Chiron extracts the QME’s findings, lines them up against yours category by category, and drafts your reasoned disagreement.

PTP–QME reconciliation

When the QME disagrees with you, Chiron lines up the findings side by side and drafts your reasoned response.

  • Extracts structured findings from an uploaded QME/AME report for the physician to confirm.
  • Compares treating and QME findings category by category.
  • Drafts a reasoned-disagreement narrative grounded in the QME’s position and the physician’s clinical basis.

Defend This

Before opposing counsel reads your report, Chiron plays opposing counsel — then drafts the rebuttal.

  • A two-pass review of adopted causation, apportionment and impairment determinations: pass one hunts weaknesses as opposing counsel would; pass two drafts the response.
  • The result is saved as a defense packet, and submission is refused while any exposure is held for review.
  • Reviews an opposing QME or UR report for substantial-evidence gaps and drafts a rebuttal letter, every quote grounded in the source.

Causation (AOE/COE)

A causation analysis built for the WCAB’s substantial-evidence standard — and for personal-injury causation too.

  • Chiron analyses arising-out-of / course-of-employment causation on workers’ comp and personal-injury cases alike, and the physician reviews and finalises.
  • On causation, up to four specialist Digital Employees — risk, legal, ethics and financial — consult, and their reasoning streams to the screen.

See it run on a real claim.

A live demo on a synthetic case — panel, records, report, billing. The AI reasons. The clinician decides.

Book a demo Model your numbers
Next stepOne conversation

See it run an encounter that looks like yours.

Tell us the workflow you want to see and who needs to be in the room. A member of our clinical and engineering team replies within two business days to arrange it — a real person, not a sequence.

Talk to our team →

What happens after you send it

  1. 01. The form reaches a monitored inbox. No auto-sequence.
  2. 02. We reply within two business days to book a time that suits you.
  3. 03. Forty-five minutes: your workflow, the reasoning trace, procurement questions.

Prefer to talk now? +1 (949) 200-8668, or email hello@mindhyve.ai.