ChironAI™ OM · for qualified and agreed medical evaluators

From panel to signed report. You write the opinion; Chiron does the rest.

The record stack, the twelve §4628 elements, the §36 service, the ML billing — Chiron carries all of it, and stops at the line only a physician may cross.

Book a demo Watch Chiron attack a report

01 · QME & AME

The panel arrives

Today

Strike windows, scheduling and replacement requests live in a spreadsheet and somebody’s memory.

With Chiron

The panel request runs as one tracked workflow, and a compensability denial opens the §4060 path by itself.

QME report, panel to signature

From panel request to a signed §4628 report: Chiron drafts each section, checks the twelve required elements, and you sign the declaration.

  • The whole QME panel lifecycle — request, issuance, strike, selection, scheduling, replacement — runs as one tracked workflow.
  • Chiron drafts any of the twelve §4628 report sections on demand, streaming its reasoning as it writes.
  • Before finalising, a §4628 required-content checklist runs against the draft.
  • A whole-draft consistency scan flags body parts diagnosed but never examined, date conflicts and uncited statements.
  • The physician attests sole authorship and AI-assist disclosure and signs the §4628(j) declaration; nothing finalises without it.
  • Anyone holding a finalized QME report can check it against the stored record by its hash, without an account.

Denial → §4060 panel, automatically

Record a compensability denial and the med-legal path opens itself: signal raised, §4060 QME panel request started.

  • Recording a factual or compensability denial raises a med-legal signal and opens a §4060 QME panel request.

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 · QME & AME

The records land

Today

Boxes and PDFs of every quality, some admissible, some not, none in order.

With Chiron

A ZIP goes into intake, each document is matched to the case, and an evaluator-scope digest is built from admissible records only — every entry cited, every entry challenged by a second reader.

Document intake inbox

Drop a ZIP of 200 documents; Chiron proposes the patient, claim and document type for each — and abstains rather than guess.

  • Single files or a ZIP of up to 200 documents go into one intake inbox for filing.
  • Chiron proposes patient, DOB, claim number, date of injury, employer and document type, and abstains when it is not confident.
  • Adjusters and counsel upload records through an expiring, no-login link that lands in your triage queue.

§4062.3 record digest

An evaluator-scope chronology built only from admissible records — and a second reader that tries to refute every entry before you see it.

  • Builds the case chronology per scope: evaluator (admissible records only, Lab. Code §4062.3) or treating (full chart), each entry citing its source document.
  • A second pass tries to refute each entry against its cited source and marks it confirmed, unsupported or contradicted.
  • Where two sources disagree — treating versus prior QME on causation or work status — the conflict is surfaced neutrally, citing both.

Admissibility flags and ex parte log

Objections, strikes and one-sided contacts are on the record, per document — so nothing inadmissible quietly shapes the opinion.

  • Per-document admissibility flags record objections, orders, strikes and retractions; a medical-record objection marks a record disputed, a nonmedical objection excludes it.
  • Ex parte communications are logged and classified, and the aggrieved party’s §4062.3(g) election is recorded — never auto-terminated.

03 · QME & AME

The report gets written

Today

Evenings lost to sections that restate the record.

With Chiron

Chiron drafts each section and proposes opinions with its reasoning; you adopt, edit or disagree. Defend This attacks the draft before opposing counsel can.

QME report, panel to signature

From panel request to a signed §4628 report: Chiron drafts each section, checks the twelve required elements, and you sign the declaration.

  • The whole QME panel lifecycle — request, issuance, strike, selection, scheduling, replacement — runs as one tracked workflow.
  • Chiron drafts any of the twelve §4628 report sections on demand, streaming its reasoning as it writes.
  • Before finalising, a §4628 required-content checklist runs against the draft.
  • A whole-draft consistency scan flags body parts diagnosed but never examined, date conflicts and uncited statements.
  • The physician attests sole authorship and AI-assist disclosure and signs the §4628(j) declaration; nothing finalises without it.
  • Anyone holding a finalized QME report can check it against the stored record by its hash, without an account.

Chiron recommends. You adopt, edit or disagree.

For causation, apportionment, MMI and work restrictions, Chiron proposes an opinion with its reasoning — and only your decision becomes the recorded opinion.

  • Chiron recommends a causation, apportionment, MMI or work-restriction opinion, verified by a separate pass; the physician adopts, edits or disagrees.
  • A server-side guard, in two independent layers, lets the causation-opinion section draft only from the physician’s own decision or a finalized analysis — never from an unreviewed AI analysis.

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.

Impairment and apportionment

AMA Guides 5th-edition ratings and multi-factor apportionment, drafted with their reasoning and checked for Almaraz/Guzman support.

  • Chiron proposes the AMA Guides 5th-edition chapter, table and category per body part from diagnoses and exam findings.
  • Checks whether a rating that departs from a strict Guides category carries the documented justification Almaraz/Guzman requires.
  • Analyses industrial and non-industrial causation-of-disability factors across sources and drafts the apportionment narrative.

04 · QME & AME

Signed, served, billed

Today

Fax, proof of service, ML codes, excess pages — each a separate chance to lose money.

With Chiron

You sign the §4628(j) declaration; the report is faxed with the §36 service recorded for Form 122, and the ML200-series charge is already drafted.

Serve and deliver, with proof

Fax the report and the §36 service is recorded for the Form 122 declaration; or send a secure link the adjuster opens without an account.

  • Faxes the finalized report and, on confirmed transmission, records the §36 service event for the Form 122 declaration.
  • A carrier adjuster with a one-time link — no account — can open and download the report; every access is logged.
  • Inbound fax is being built; today records arrive by upload, ZIP import or a secure outside-party link. Coming

Med-legal billing that writes itself

Attest the report and the ML200-series charge is drafted — with excess-page pricing, testimony quarter-hours and sub rosa review.

  • Attesting a med-legal report drafts the ML200-series charge, including excess-page pricing.
  • While a report is drafted, the applicable ML code, modifiers and included-page allowance are shown.
  • Completing a deposition drafts the ML204 charge from the physician’s hours; a late cancellation drafts its charge too.
  • Sub rosa footage review is logged by the quarter-hour and drafts the ML205 charge — never auto-submitted.

Late-payment penalties, counted

California’s self-executing late-payment penalty and interest are computed on every bill, under the right regime — §4603.2 or §4622.

  • Computes statutory penalty and interest for a late-paid bill, choosing the medical-legal (§4622) or medical-treatment (§4603.2) regime.

Also on OM

Everyone around the claim.

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 Watch Chiron attack a report
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.

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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.