ChironAI™ OM · what Chiron does
Everything Chiron, the Digital Employee inside ChironAI™ OM, does for a workers’ compensation, QME/AME, PM&R or personal-injury practice today — grouped by the role it serves most, with what each one returns to you.
Last updated 26 October 2026 · 239 automate · 196 assist · Get the full guide (PDF)
Automates
Chiron does the work end to end and tells you it is done.
Assists
Chiron prepares a draft, suggestion or check; a person reviews, edits and decides.
Each task also names what it returns: Revenue — money earned or recovered; Error avoided — a mistake, denial, penalty or missed deadline prevented; Time saved — work you no longer do by hand.
Showing 435 of 435 tasks
Chiron drafts a treatment plan from the clinical picture, merges it with what you have already written, and checks every ordered treatment against MTUS/ACOEM, returning a green, amber or red status with the guideline quoted and cited, so you see how a request lines up with MTUS/ACOEM before it goes out.
Diagnosis and treatment
Chiron reads a drafted request the way a UR reviewer would, shows the approval drivers and denial risks with its reasoning visible, and suggests MTUS-concordant changes to strengthen a weak request before you submit.
Diagnosis and treatment
Chiron tracks the patient's pain rating and function questionnaires and charts the trend, the evidence a utilization reviewer looks for when deciding whether treatment is working.
Diagnosis and treatment
Chiron computes the Labor Code §4610 utilization review timeframes on each RFA in business or calendar days, skipping California state holidays, and tracks the IMR filing window after a denial with alerts at 25, 20, 15, 10, 5, 2 and 1 days.
Laws, rules and deadlines
Before an RFA goes out for a treatment whose denial still binds — an unappealed UR denial after the IMR window lapsed, or one IMR upheld — Chiron stops it and tells you which rule applies and until when under Labor Code §4610(k) and §4610.6(g), checking your clinic and any linked sister clinics.
Laws, rules and deadlinesAlso for Billing
Chiron lists every UR denial eligible for IMR with its filing deadline and status, and flags the appeal most at risk of missing its window that is still unstarted.
Laws, rules and deadlinesAlso for Office
Chiron suggests the E/M level from your note and orders, leveling on the higher of medical decision-making and time, proposes procedure codes, modifiers, units and ICD pointers, and proposes the medical-legal code. You confirm each one, and any change you make is recorded.
Bills and collections
Chiron plays opposing counsel against your adopted causation, apportionment and impairment opinions and against your saved Doctor's First Report, then drafts the rebuttal grounded only in your adopted positions. The DFR editor also asks, "How would UR or the defense challenge this?"
Other
Once every challenge is resolved, Chiron bundles each rebuttal with its cited sources into one defense packet and puts the exchange on the case record.
OtherAlso for QME/AME
On a finalized closure, Chiron lets you file a reopen petition, tracks the Labor Code §5410 five-year window from the date of injury, restores the case to active work with its history intact, and tells you plainly when the date of injury is missing.
OtherAlso for Office
PM&R procedure notes, charges and payer approvals, a neuromuscular exam template, and DME orders checked against 8 CCR §9792.6.1(u)(2) and §9792.20(e) before Chiron drafts the RFA.
Diagnosis and treatment
When you complete a visit, perform a procedure or attest a report, Chiron drafts the charge, priced against the Official Medical Fee Schedule on the date of service.
Bills and collections
Chiron flags appointments that have passed without check-in. When your staff mark a no-show, Chiron drafts the ML200 missed-appointment charge where it applies.
Scheduling
When a payer lets a utilization review clock run out without a decision, Chiron tells you the moment it expires, so you can decide your next step.
Laws, rules and deadlinesAlso for Billing
Record an in-office procedure, such as a trigger-point or joint injection, separately from what you order for later, and Chiron drafts a reviewable charge, showing whether it is drafted, already charged or why not, with a retry if the draft failed.
Bills and collections
Each morning Chiron assembles the patients you need to see or follow up with today, including QME-related deadlines on your workers' compensation cases.
Administrative work
Chiron keeps a record of every analysis it has already run for a patient, and a separate log of who acted on the chart and when, so you can see what has been looked at and who changed what.
Administrative workAlso for Admin
If the network drops, your session expires or the page reloads mid-edit, Chiron offers your unsaved text back on report sections, addenda, prescriptions, the chart, closure, work status, IMR and PM&R notes, and only to the person who typed it.
Chiron drafts the narrative Doctor's First Report of Occupational Injury or Illness on your clinic letterhead from the visit recording and the records, attaches the official DWC Form 5021, and checks the two against each other. A pre-sign checklist warns you of gaps without blocking you. An amended report sits beside the signed original.
Documentation and records
Before you sign, Chiron lists every study the records mention that is not yet on this visit and every record nothing was used from, then shows the studies, prior reports, procedures, therapy courses and record conflicts, each linked to its source page with a one-click "Add to visit".
Documentation and records
Chiron proposes one list of the body parts in the claim, prefilled from the intake pain diagram, the claim and the records, each with its side and status, and drafts the exam-scope sentence from it. Only the list you confirm prints on the Doctor's First Report, PR-2 and later reports.
Documentation and records
Chiron gives you structured templates for each body region and specialty — lumbar spine, knee, psychiatric and more — with inspection, range of motion, strength and neuro fields, including statutory-content templates for psychiatric, cardiopulmonary and toxic-exposure exams that cite the regulation behind each field.
Documentation and recordsAlso for QME/AME
When a new record lands on a case, Chiron re-reads the whole case and tells you plainly what changed, such as a shift in the causation picture.
Documentation and records
If a report draft stops generating partway, Chiron marks it as failed instead of leaving a spinner that never finishes, so you know to run it again.
Documentation and recordsAlso for QME/AME
Before a visit Chiron summarizes what has happened on the case, lists the records that are missing, and lets you request them in one click.
Documentation and records
Upload an outside evaluator's report and Chiron reads its findings for you to check field by field against the source before it builds anything from them.
Documentation and records
From the confirmed findings, Chiron lays the evaluator's opinions beside your own, category by category, so you see exactly where you agree or differ, and asks for a documented response to any material divergence.
Documentation and records
When a reconciliation waits too long for acknowledgment or stalls midway, Chiron nudges the right person, so a disagreement with the evaluator does not go stale.
Documentation and recordsAlso for QME/AME
Chiron renders each DWC form on demand from the live case — Form 5021, PR-2, PR-4, DWC Form RFA, AD-10133.36 and others — so the same fact is never typed twice and never disagrees between forms. Filing copies are produced as PDF/A, the format EAMS requires.
Forms
Chiron converts the treatment plan you wrote into structured orders and prepares the DWC Form RFA, with the MTUS/ACOEM support for each requested treatment cited.
Forms
Chiron walks you through three steps — prepare the exact state form, attest and sign it, then send it by download or the same secure, trackable link used for reports — and keeps the send controls locked until the form is signed.
Forms
Once the rationale sections are locked and exhibits chosen, Chiron compiles them, with an optional physician statement, into one finalized, fingerprinted §4610.5 IMR packet ready to file.
Forms
Chiron carries the restrictions from the patient's last PM&R visit onto the PR-4's functional-capacity bands and tells you which bands it could not match exactly.
Forms
Chiron suggests ICD-10-CM codes from the mechanism, body parts and exam findings. Each suggestion quotes the words it rests on, and every code is checked against the official ICD-10-CM table so no invented code reaches the chart.
Diagnosis and treatment
Upload the PDF an EMG machine printed and Chiron reads its tables into a draft study for you to confirm row by row.
Diagnosis and treatment
For PM&R clinics, Chiron reports spine range of motion against the AMA Guides Fifth Edition normals, neurological findings with their supporting signs, and the Waddell sign count, the same facts the impairment rating later uses.
Diagnosis and treatment
Chiron drafts an assessment of whether the patient has reached maximum medical improvement, grounded only in completed visits, and treats a missing finding as missing rather than negative. You edit and attest; Chiron then opens the P&S reporting obligation.
Diagnosis and treatment
Chiron drafts an AOE/COE causation analysis, proposes how disability is apportioned between industrial and non-industrial factors, and proposes AMA Guides Fifth Edition impairment ratings with an Almaraz/Guzman check, each with a narrative you can finalize.
Diagnosis and treatment
Chiron convenes a panel of specialist perspectives on a causation question, each reasoning visibly, before it drafts a joint view for you to review and finalize. On a personal-injury case the seats are clinical, treatment-reasonableness, lien and a defense-perspective challenger, each kept to a medical or billing opinion with any legal conclusion removed.
Diagnosis and treatmentAlso for QME/AME
Every step of a determination's reasoning carries evidence chips; open one and Chiron shows the exact excerpt and source it rests on.
Diagnosis and treatmentAlso for QME/AME
Before you finish, Chiron shows which statutory reports this kind of encounter can trigger, the clock and provision behind each, and the fields nothing has captured yet, each tied to the regulation that requires it, without stopping you from finishing.
Laws, rules and deadlinesAlso for QME/AME
After a UR denial you decide whether to pursue IMR or dismiss the appeal, each with its own confirmation, and Chiron records your decision on the case.
Laws, rules and deadlines
Upload or paste the IMR determination letter and Chiron proposes the outcome, decision date and reviewer rationale; nothing is recorded as the outcome until you confirm it, and manual entry is always available.
Laws, rules and deadlinesAlso for Office
Chiron checks readiness to close, drafts a six-part settlement-readiness summary under a strict neutrality rule (no settlement values, no legal advice), checks the final diagnoses against the case, drafts future-medical items and patient transition instructions, and produces a fingerprinted closure packet.
Other
Every morning Chiron checks every active workers' compensation case for a recovery plateau, missed appointments, prolonged temporary disability and work-restriction conflicts, and notifies you. It suggests a change of clinical phase; you confirm it.
Administrative work
If your connection drops mid-recording, Chiron holds the audio already captured, tells you so, and uploads it the moment the connection returns, so nothing recorded is lost.
Documentation and records
If part of a recording fails to transcribe, Chiron says so and retries that part when you draft the report from the recording, rather than silently leaving a gap.
Documentation and records
Chiron shows on the visit screen whether your documentation is saving, saved or could not be saved, so you always know whether your last change reached the record.
Documentation and recordsAlso for QME/AME
Once you complete a visit, Chiron locks it against further changes and tells you why, so nobody keeps documenting after the statutory clock has started.
Documentation and recordsAlso for QME/AME
Chiron asks whether the patient injured the same body parts after the date of injury, alongside the other alternative-cause questions, and requires a description when the answer is yes.
Documentation and records
On the attestation screen Chiron marks each section of the report as your own writing, drawn from the record, or an AI draft, and notes where it applied your saved preferences, so you know exactly what you are signing.
Documentation and records
Chiron lets you open the exact PDF that will become the filed report, so you check the assembled document rather than the text boxes.
Documentation and records
For each category where you agree, partly agree or disagree with the evaluator, Chiron asks for your medical reasoning and can draft it for you to edit and adopt; a disagreement is checked for professional tone before it saves.
Documentation and records
Chiron checks the responses you have written in a reconciliation for internal contradictions and lists them; it advises and never blocks you.
Documentation and records
Chiron completes a reconciliation only once every disputed finding is resolved and every disagreement has passed the tone check; if you revise a causation or apportionment opinion here, you state whether it is your own or adopted from Chiron.
Documentation and records
When you attest a Doctor's First Report, PR-2 or P&S report, Chiron can sign the matching state form (Form 5021, PR-2 or PR-4) in the same step with your licence and saved signature, so the download is ready to file.
Forms
Chiron will not let a PR-2 go out without a work-status date, and offers the date from the visit when the record cannot supply it.
Forms
If a request is missing something Labor Code §4610 requires, Chiron keeps the list on screen and takes you straight to each missing field.
Forms
When a request has more than five procedures, Chiron tells you a continuation sheet is attached and reminds you to send the whole PDF, not just the first page.
FormsAlso for Office
If a request changes after its DWC Form RFA was prepared or attested, Chiron tells you the copy on file no longer matches, so nobody sends an outdated form unknowingly.
Forms
You record work status and restrictions once, with dates, and Chiron carries them to every form and letter that needs them, including the work-status letter and EDD forms DE 2501 and DE 2525XX.
Forms
Record the findings DWC-AD 10133.36 and the PR-4 need, each as yes, no or not yet determined, and Chiron carries them onto both forms. Once you sign, the determination is frozen: an amendment adds a new entry and never erases the original.
FormsAlso for QME/AME
Chiron tells you how many boxes on the 10133.36 or PR-4 would print blank if served now, and names each one.
Forms
For PM&R clinics, Chiron carries structured work restrictions onto the PR-2, Form 5021 and work-status letters, and can open an employer-facing note that states only functional limits, never a diagnosis or cause.
Forms
Once MMI is attested, or for a case declared permanent and stationary earlier, Chiron lets you record the P&S date, prefilled from the supporting exam, or correct it with what it replaced and why, so the PR-4 never prints that box blank.
Forms
Chiron tells you up front what signing requires: a non-controlled prescription carries your saved signature, while a controlled-substance prescription requires a live authenticator code.
Forms
Void a prescription, signed or not, with a reason kept on the record. If it may already have left the clinic, Chiron tells you to call the pharmacy rather than implying it was recalled.
Forms
As the treating physician you see a read-only view of the QME panel on your patient's case, with no ranking or scoring, so nothing steers your view of the evaluator selection.
Scheduling
While you code, Chiron flags a "not specified as traumatic" code on a specific injury, an initial-encounter character at a later visit, and an unspecified side when the visit documents one, with the codes to consider. You fix it in one click or keep it as coded.
Diagnosis and treatment
If you pick an ICD-10 category header rather than a billable code, Chiron tells you at once and lists the billable codes beneath it, so a form is never refused later.
Diagnosis and treatmentAlso for Billing
Chiron tells you whether the proposed diagnoses are consistent with the reported mechanism of injury, so a mismatch is caught before UR or the defense finds it.
Diagnosis and treatment
Chiron flags any uploaded record that disagrees with the case about the date of injury, side, body part or mechanism. Silence in a record is never treated as a conflict.
Diagnosis and treatment
Chiron shows any red-flag answer and a positive two-question mood screen (PHQ-2) from the patient's intake at the top of the intake, on the case and beside the visit note, for you to review. The patient is never told they have anything.
Diagnosis and treatment
Chiron never writes into your plan directly: it shows what you have beside what it proposes for each field, and you accept or dismiss each one.
Diagnosis and treatment
On request Chiron checks a single ordered treatment against MTUS/ACOEM and shows the most serious finding with the guideline section it matched.
Diagnosis and treatment
Chiron tells you when your written plan and your medication orders disagree, on the Ordered Treatment panel and again at completion, without blocking you.
Diagnosis and treatment
At a follow-up Chiron lets you log how much of an ordered course, such as physical therapy, the patient has completed, and leaves the count blank rather than assuming zero when nobody checked.
Diagnosis and treatment
When Chiron's guideline search finds nothing to ground a request, you can record in your own words that no MTUS section applies. Chiron requires a reason, prints it on the RFA, and tells you if the request later changes enough that it no longer counts.
Diagnosis and treatment
Chiron flags an ICD-10 code on a request that no treatment line uses, so it does not silently drop off the state form; you remove it or keep it.
Diagnosis and treatment
If your clinic is linked with others, Chiron tells you when it cannot check a new request against a sister clinic's binding UR denial because the claim number or date of birth is missing, and what to add.
Diagnosis and treatment
Before you send a PM&R request, Chiron shows what a utilization reviewer may ask about and what documentation to add; it never blocks or delays sending.
Diagnosis and treatment
Chiron runs the Jamar 3×5 protocol, calculates right-to-left percentages and the coefficient of variation, and cites the published norms. Vitals are shown in US units with metric in brackets, and BMI is calculated, never typed.
Diagnosis and treatment
Chiron tells you when the 0–5 grip grade and the Jamar readings on the same exam seem to disagree, without changing either value.
Diagnosis and treatment
Chiron records vitals against this specific visit and never fills them in from a prior one, so every vital sign on the record was actually measured.
Diagnosis and treatment
Write and sign prescriptions with allergy and duplicate checks, Chiron-flagged drug interactions (labelled as Chiron-flagged, not a validated interaction check), the MTUS status of the drug quoted and cited, and your licence, DEA and NPI numbers printed under your name. When you sign a Schedule II–IV prescription, Chiron records your CURES review.
Diagnosis and treatment
Chiron shows the MTUS formulary status, with its citation, for a medication already on the patient's list, not only one being newly prescribed.
Diagnosis and treatment
For a patient on opioids, Chiron calculates the morphine-milligram-equivalent dose from issued prescriptions and reminds you about a urine drug test, a pain agreement and your CURES review. These are reminders only; OM does not connect to CURES.
Diagnosis and treatment
Keep the standard chart current. Stop or change a medication at the visit with a reason, and Chiron keeps the history.
Diagnosis and treatment
Chiron lists the patient's active medications for you to confirm or stop, with nothing pre-marked as confirmed, and lets you record a periodic medication review as its own dated attestation.
Diagnosis and treatment
Chiron keeps a safety alert, such as a known allergy, pinned at the top of the patient's chart until a clinician removes it, and asks why before it comes down.
Diagnosis and treatment
Every determination states how many of the case's records it was built from, how many were held out and how many are still processing, so you know what it does and does not reflect.
Diagnosis and treatmentAlso for QME/AME
If the case file is too thin to support a determination, Chiron tells you what is missing before it runs; on apportionment, causation, PR-4 and QME analyses it refuses rather than produce a thin answer.
Diagnosis and treatmentAlso for QME/AME
Chiron flags a causation or apportionment result that may have been built before the case's full record timeline existed, and offers a re-run; a finalized result stays exactly as finalized.
Diagnosis and treatmentAlso for QME/AME
Once you finalize a causation, apportionment or impairment determination, Chiron will not let it be edited; to change it you run a new version that supersedes it, keeping a clean record of what changed.
Diagnosis and treatmentAlso for QME/AME
When you finalize a determination, Chiron labels its proposed rationale as a proposal until you edit it or explicitly adopt it, so the record never reads as your reasoning when it is Chiron's draft.
Diagnosis and treatmentAlso for QME/AME
On a personal-injury case Chiron asks the medical causation question that case type calls for and labels the screen with the standard being applied.
Diagnosis and treatmentAlso for QME/AME
Chiron cross-checks your reconciled positions against the current treatment plan and warns you of a conflict, saying plainly when the check could not run.
Diagnosis and treatment
When you sign a visit, Chiron starts the statutory reporting clock and tracks every report owed on the case — Form 5021, PR-2, PR-4, the 24-hour pesticide-illness report under Labor Code §6409 — with who must be served and whether service is recorded. It warns you seven days ahead and escalates when overdue.
Laws, rules and deadlines
If most of the chart behind a report is still withheld from you, Chiron stops you before you attest and asks you to confirm, recording your reason.
Laws, rules and deadlines
For a requested drug, Chiron suggests whether it is on the MTUS Drug Formulary and asks you to confirm, because the answer decides whether a later denial gives you 10 or 30 days to file for IMR.
Laws, rules and deadlines
After a denial or modification is recorded, Chiron classifies it for you to confirm, which decides whether an appeal goes to Independent Medical Review or the WCAB; a suggested classification is flagged for review, never treated as settled.
Laws, rules and deadlinesAlso for Office
For each IMR appeal, Chiron explains in plain words why the filing deadline falls on that date, with the statute behind it.
Laws, rules and deadlines
You mark an appeal's filing window as expired, which records the year the UR denial then binds for, or reopen an appeal; Chiron never does either on its own.
Laws, rules and deadlines
Chiron will not lock an IMR medical rationale for the packet until every section has content and has been changed from Chiron's own draft.
Laws, rules and deadlines
Chiron reviews an opposing QME or UR report for gaps in the substantial evidence behind it, checking every quote against the document, and drafts a rebuttal letter for you to edit and sign as your own.
Laws, rules and deadlines
File a patient's predesignation of their personal physician under Labor Code §4600 so they can treat with you from the first visit, outside the employer's MPN.
Laws, rules and deadlines
Each citation in a Chiron answer opens its source in a pane beside the answer, so you can check the passage before relying on it.
Under every answer Chiron states in plain words what it is and is not supported by, and says when a run did not finish, instead of a score you would have to interpret.
Once per sign-in Chiron reminds each user that it is advisory and physician-reviewed, and that a licensed clinician remains responsible for every decision.
If you open a workers'-compensation-only tool — apportionment, impairment, scenario modeling — on a personal-injury case, Chiron stops you before you fill in anything the case cannot use and points you to the right place.
Save a Defend This run as a packet to return to, and hold a challenge as provisional while you look into it; Chiron will not let the packet be submitted while any exposure is still held.
OtherAlso for QME/AME
Anyone holding a finalized IMR packet — the worker, their attorney or the review organization — can confirm by its fingerprint that it is the exact file you filed, without seeing any patient information.
Other
Anyone holding a finalized PTP–QME reconciliation can confirm it is the one attested, by pasting its fingerprint or selecting the file, which is checked in their own browser and never uploaded, without seeing any patient data.
OtherAlso for QME/AME
Chiron flags when the patient summary reads above an eighth-grade level, so you can simplify it before it is handed over.
Other
Chiron's closure checklist has a Recheck button that recomputes it on the spot and stamps when it was last checked, so you know the list in front of you is current.
Other
Before you finalize, Chiron shows exactly which body parts will carry into the closure packet so you can correct the list first.
Other
Chiron lets you record that an individual body part has reached MMI or is only partly closed, which decides whether a post-closure block applies to the whole case or just that part.
Other
Chiron blocks finalizing a closure on unresolved findings, warns on softer ones, and lets an authorized team member override a block with a documented reason.
OtherAlso for Office
If Chiron cannot load a closure panel — guardrails, body parts, retention — it says the read failed and offers a retry, so a failure is never mistaken for a clean record.
Other
If a case closure sits at the same step for more than 30 days, Chiron tells you to advance or reassign it.
OtherAlso for Admin
Anyone holding a closure packet can confirm by its fingerprint that it is the one Chiron produced and unaltered, without seeing any patient data.
OtherAlso for Office
Chiron routes what needs your attention — reports to sign, records to review, deadlines approaching — into one worklist and one inbox, each item linked to the case.
Administrative work
Ask a question in plain language about a patient's case and Chiron answers from the case file and the MTUS/ACOEM guidelines, with each statement cited to its source.
Administrative work
Hold a live voice conversation about a case. Chiron answers aloud and states at the start of every session that it provides decision support, not medical advice.
Administrative work
Chiron keeps a searchable board of your visits by status and patient, separate from the general worklist, so you can find a specific encounter without digging through everything that needs attention.
Administrative work
Chiron suggests which visit on your list to open next, naming the deadline at risk and the documentation still missing, for you to act on or ignore.
Administrative work
On each patient, Chiron lists the open items it has found, ordered by urgency, each linking straight to the tab where you act on it.
Administrative work
Chiron keeps four facts pinned on every case screen, whichever tab you are on: the next statutory deadline in your clinic's time zone, claim status and body parts, unbilled work and receivables, and Chiron's last action on the case with its citation.
A short checklist on your home screen ticks itself off as you use Chiron's main features, and goes away for good once you finish or dismiss it.
With the patient's verbal consent recorded in the visit, Chiron records the encounter, keeps the audio with the record, and starts drafting the moment the visit ends. The draft fills the exam tables for you.
Documentation and records
Chiron lets you play a recorded visit back, or read its transcript instead, without leaving the visit workspace.
Documentation and records
Dictate the history, job demands, exam or plan and Chiron transcribes it into the right field. If a transcription fails, Chiron tells you rather than inventing text.
Documentation and records
Switch the Chiron panel to Draft, speak or type a passage, and copy it into the note, report or RFA where you sign. Chiron saves and files nothing from the draft box.
Documentation and recordsAlso for QME/AME
On a first visit Chiron reads the uploaded records and drafts the history: mechanism of injury, job duties, prior injuries and work status, each with a citation to the page it came from, for you to confirm instead of retyping.
Documentation and records
With one click Chiron puts the patient's intake answers — chief complaint, mechanism, job and pain — into the empty fields of the visit note, labelled as the patient's report, for you to edit. It never overwrites a field you have filled, and "Mark reviewed" records that you read the intake.
Documentation and records
Beside each exam group Chiron offers a "Mark all" shortcut for that group and side, and asks you to confirm before it changes a result already recorded.
Documentation and recordsAlso for QME/AME
Drag a record onto the open visit, or pick a file, and Chiron files it to the case; it rejects an unsupported or oversized file and tells you why.
Documentation and recordsAlso for Office
Chiron drafts the narrative sections of your Primary Treating Physician's Progress Report (PR-2) and Permanent and Stationary Report (PR-4) from the case record, in your own first-person voice. You edit and attest.
Documentation and records
Beyond the PR-2 and PR-4, Chiron drafts a progress note or a discharge summary for a case on request, carrying the same AI-assistance disclosure, for you to review and sign.
Documentation and records
On a personal-injury case Chiron drafts a narrative medical report for the patient's attorney — history, treatment to date, your causation opinion exactly as you determined it, current status and prognosis — citing every fact and listing anything missing rather than guessing. Chiron never addresses fault, negligence or damages.
Documentation and recordsAlso for QME/AME
Tell Chiron how you like your reports written — phrasing, order, level of detail — and it applies those preferences to every draft it prepares for you.
Documentation and records
Draw or upload your signature once and Chiron reuses it on every report, form and prescription you later attest. It checks the image and strips identifying file details before saving it.
Documentation and recordsAlso for QME/AME
Chiron formats the signed visit note as a PDF on your letterhead, with the recording noted.
Documentation and records
Chiron writes one chronological narrative of every document on the patient, far shorter than the source, verified by a second, adversarial pass. You can edit any entry; your edit is kept as a separate layer and the original is never altered.
Documentation and records
Alongside the whole-chart summary, Chiron writes the same chronological review narrowed to one case's documents, so you are not reading history from an unrelated claim.
Chiron turns the records review on screen into a PDF you can save or hand off, with the same disclosure and markers on any unverified sentence, and no patient name in the file name.
Chiron merges a case's visits, work-status changes, causation analyses, reporting obligations, UR and IMR outcomes and documents into one history, so you do not piece it together from six screens.
Documentation and records
Chiron produces your finalized apportionment opinion as a formatted PDF to attach or file.
Documentation and recordsAlso for QME/AME
Chiron pulls the findings straight from a completed QME or AME evaluation on the platform to start your PTP–QME reconciliation, so nothing is retyped.
Documentation and records
Chiron drafts your PR-2 reconciliation report section by section, in your first-person voice, for you to edit, save and sign.
Documentation and records
Chiron lets you acknowledge, dismiss or reassign a reconciliation; acknowledging it opens the follow-up PR-2 obligation for you.
Documentation and records
For each of the six sections an IMR medical rationale needs — diagnosis and function, the treatment requested, medical necessity, the response to the UR denial, supporting guidelines and conclusion — Chiron drafts from the case record while you watch its reasoning, and you edit and lock each one.
Documentation and records
Chiron proposes the records, prior denial and guideline citations worth including in an IMR packet, with a note on why each matters; you include, exclude or add what Chiron missed.
Documentation and records
Chiron offers the return-to-work date recorded at the visit as a one-click answer for the Form 5021 items that need it.
Forms
Beside a blank return-to-work box, Chiron offers what the permanent-and-stationary visit documents, with its source, for you to accept or leave.
Forms
Once you sign the Doctor's First Report, Chiron lists every party that must receive it and what each one receives, and tracks service to each. Send it by mail, email or secure link and record how you sent it.
Forms
Pick the follow-up interval in the visit and book it on the schedule in one step.
Scheduling
Beyond Chiron's suggestions, you can search or look up any ICD-10-CM code directly against the official table.
Diagnosis and treatment
Chiron suggests imaging, EMG or laboratory studies from the record set and quotes the prior impressions verbatim.
Diagnosis and treatment
Chiron keeps the case's one active treatment plan as a record you manage over the course of care: add or discontinue an item, revise it with quantity and units carried forward, and mark it complete.
Diagnosis and treatment
Log a patient's response to each treatment over time, and reuse your own saved plan text.
Diagnosis and treatment
Chiron shows whether a patient's pain and function are trending better or worse, and says plainly when there is not yet enough data to tell.
Diagnosis and treatment
Once Chiron flags a plateau, missed appointment, prolonged disability or restriction conflict, you can acknowledge it, dismiss it with a note, or mark it resolved, so the board reflects what your team has reviewed.
Diagnosis and treatment
Chiron's drift board lets you run a fresh sweep in one click instead of waiting for the morning check, and snooze a case you are already handling for a set number of days; it returns on its own when the snooze ends.
Diagnosis and treatmentAlso for Office
While Chiron works through a determination, you see each step and a live summary of its reasoning instead of a blank screen.
Diagnosis and treatmentAlso for QME/AME
Open the Chiron panel from any screen to ask about the case you are looking at without leaving it; Chiron tells you which case it used, so you never read an answer about the wrong patient.
With no case selected, Ask the Case still answers from the MTUS/ACOEM guidelines alone and says plainly that the answer is not grounded in a case file.
OtherAlso for QME/AME
Ask the Case and similar screens open onto the cases you were just working on, re-checked against your access, instead of a list of the clinic's newest cases.
The whole console works on a phone between patients: the menu becomes a drawer with your Inbox badge on the top bar, and Help opens as a full-height sheet.
Chiron drafts a plain-language summary of the signed Doctor's First Report for the patient, in English or Spanish.
Other
For each prior award on file, Chiron shows the claim, rating and source document, and you confirm it overlaps the current disability, mark it not applicable or set its percentage, with a reason either way, before any credit is taken.
Diagnosis and treatmentAlso for PTP
When Chiron's analysis finds no split, you can record your own finding that only the industrial injury contributes; Chiron asks for your reasoning, since a bare "100% industrial" does not support the opinion under Labor Code §4663.
Diagnosis and treatmentAlso for PTP
Chiron lets you decline a proposed rating and walks you through the elections that change the award — a pain add-on, how multiple impairments combine or split across injuries, the §4662(a) conclusive-presumption cap and the §4658(d) return-to-work adjustment.
Diagnosis and treatmentAlso for PTP
A deadline chip on every evaluation, the chain of extensions, and a late-report banner. A late report risks your fee.
Laws, rules and deadlines
Chiron tracks what share of your §38 report obligations closed on time and lists those due within seven days or already overdue, each linked to its evaluation.
Laws, rules and deadlinesAlso for Admin
While you write, Chiron shows the ML200-series code, modifiers and included-page allowance the Medical-Legal Fee Schedule implies. On attestation it drafts the charge with excess-page pricing; you pick the code if Chiron's proposal differs from yours.
Bills and collections
When new records arrive, Chiron opens a supplemental report under 8 CCR §38(i), tracks any agreed extension, and drafts the ML203 charge when you complete it.
Documentation and records
Schedule, notice, complete or cancel testimony. Chiron builds the deposition prep packet — the report, supplementals, records reviewed and prior testimony — and drafts the ML204 charge, including the minimum charge for a late cancellation.
Scheduling
When the worker reports a prior claim on intake, Chiron logs it as an unconfirmed candidate for the §4664 prior-award registry, for you to verify against the records.
Forms
Log surveillance footage, mark it reviewed with your time and findings, and Chiron drafts the ML205 charge.
Diagnosis and treatment
Chiron lets you request a §38 extension, picks the statutory ground (15 days for good cause, up to 30 for a pending test or consult), enforces the day limit and the five-day advance-request rule, keeps a table of every extension, and unlocks Form 112.
Laws, rules and deadlines
If a med-legal bill is paid late, Chiron calculates the penalty and interest under Labor Code §4622 on the portion unreasonably unpaid, and says when it does not apply.
Bills and collections
Revenue by ML code, receivables aging with second-review exposure, report turnaround, violation risk, the panel pipeline and upcoming depositions in one view.
Bills and collections
Every QME and AME evaluation in one list, sortable by deadline and urgency, with summary tiles at the top.
Administrative work
Chiron builds a chronological digest in which every entry cites the page it came from. A second pass tries to refute each entry against its source, and conflicting findings between documents — for example a treating physician and a prior QME on causation — are shown as neutral disputes citing both sources.
Documentation and records
When new records, an exam change or a finalized opinion may affect sections you already wrote, Chiron lists every affected section in report order and walks you through each: keep it, with your reason recorded, or redraft it.
Documentation and records
Chiron lets you print a QR sheet, email the worker or copy a link with a chosen expiry, and stop a link early. Each answer the worker submits waits for staff to confirm it into the questionnaire, never overwriting what staff typed, and resending an unanswered link warns in English and Spanish that it discards what the worker started.
FormsAlso for Office
Chiron runs the panel from request to scheduled appointment: issuance, strikes, selection, scheduling, extension, replacement and cancellation, each step checked against the one before it. A nightly sweep watches the selection and scheduling windows on both sides.
Scheduling
Chiron proposes AMA Guides Fifth Edition ratings by chapter, table and category, cited from a verified registry; checks whether an Almaraz/Guzman departure is justified; finds prior awards in the documents for the Labor Code §4664 credit; and analyzes causation and apportionment with narratives you finalize.
Diagnosis and treatment
If a case already has a current evaluation for the specialty you are opening, Chiron asks you to confirm with a short reason, so an accidental duplicate is never created silently while a genuine second opinion still goes through.
Administrative workAlso for Office
When a case gets a newer evaluation in the same specialty, Chiron keeps the earlier one fully readable but out of your everyday list.
Administrative workAlso for Office
Chiron lets you return an evaluation to an earlier stage, for example after a supplemental exam is ordered, or close it as failed; either move needs a reason, kept permanently with a full history of every stage change.
Administrative work
Chiron keeps your evaluator practice in order: your credential roster; reappointment-risk counters under 8 CCR §§34, 38, 41 and 51; continuing-education hours under 8 CCR §§55 and 55.1, including the anti-bias minimum; office locations; telehealth eligibility; disclosures and conflicts on DWC Form 123; and interpreter booking with fee quotes.
Administrative work
Chiron prepares your notice of unavailability and refuses a notice given less than 30 days ahead or one that would exceed 120 days in a calendar year.
Administrative work
Record any one-sided communication, classify it as substantive or within the safe harbor, and record the aggrieved party's election under Labor Code §4062.3(g). Chiron never terminates an evaluation on its own.
Administrative work
Mark each record admissible or inadmissible under Labor Code §4062.3 and record objections, strikes and §35(e) prohibited reports. Chiron keeps an append-only trail, and an evaluator-scope chronology uses only admissible records.
Documentation and records
Once you are satisfied with the chronology, you record a one-time physician-reviewed sign-off, with an optional statement, that becomes part of the permanent record.
Documentation and recordsAlso for PTP
Chiron keeps the one list of records your report will cite as reviewed, and clears your confirmation, telling you so, the moment a record or flag changes underneath it, so a stale confirmation never reaches finalize.
Documentation and records
Chiron keeps a single open intake draft per evaluation, lets you attach or discard a questionnaire captured elsewhere on the case, and shows beside each section what the served records already say, cited, so staff can add from them.
Documentation and recordsAlso for Office
When staff enter exam values ahead of your evaluation, Chiron marks each one unconfirmed and keeps it out of the report until you confirm it.
Documentation and records
Chiron flags a draft that narrates its own inputs instead of reading as your report, and a causation percentage in a non-psychiatric causation opinion, since California case law requires only a contributing industrial cause and percentages belong to apportionment. It advises and never rewrites.
Documentation and records
Chiron recommends a causation, apportionment, MMI or work-restriction opinion at its deepest reasoning level, verified by a separate pass that drops any fact it cannot confirm. Only your decision to adopt, edit or disagree enters the report; the causation section cannot be drafted until you have decided.
Documentation and records
Before you finalize, Chiron scans the whole draft for diagnosed but unexamined body parts, date conflicts, uncited statements and unrecognized citations. It advises and never rewrites.
Documentation and records
Correct a finalized report with a signed addendum instead of reissuing it.
Documentation and records
Chiron runs the §4628 required-element checklist, then presents the penalty-of-perjury declaration, the §4628(a) statement and an AI-assistance disclosure only where AI assisted. You sign; Chiron produces a fixed PDF with a SHA-256 fingerprint that anyone can verify. It will not finalize without your licence number.
Forms
Before you finalize, Chiron asks who performed the exam, took the history, reviewed the records and performed any other service connected to the report; anything left unanswered prints as "NOT DOCUMENTED" rather than being assumed.
Forms
Chiron has you itemize face-to-face, history, record-review, writing and research minutes, checks the face-to-face total against the minimum for your panel specialty, and asks for a detailed explanation before finalize if you are under it.
Forms
Chiron sets up the 8 CCR §36 service list for the report — worker, applicant attorney, defense attorney, claims administrator and DEU — tracks service to each, and builds the Form 122 declaration of service for the person who served it to sign.
Forms
Chiron counts the 30 days from when the requester received the report, using the receipt date you enter or, failing that, the service date plus the mailing allowance, marked as assumed. It refuses a request only when it is certainly late, and otherwise records it with a note on which date to confirm.
Forms
Chiron leaves the Form 124 financial-interest declaration unsigned until the evaluator executes it from their own credential record, and watermarks every copy as a draft until then.
FormsAlso for Admin
Record the parties' agreement to an Agreed Medical Evaluator and the issues it covers. Chiron refuses an AME agreement on an unrepresented case.
Scheduling
At a QME or AME evaluation, Chiron suggests diagnostic studies only from records admissible under Labor Code §4062.3; at a treating visit it draws on the whole record set.
Diagnosis and treatmentAlso for PTP
Chiron re-checks every ICD-10-CM code in your drafted sections against the code set valid on the evaluation date and flags a code that is not billable, not valid for that date or carries the wrong encounter character; an open flag holds up finalize.
Diagnosis and treatment
Chiron flags when a causation, apportionment or impairment run on an evaluation had to rely on the records rather than your working diagnoses or MMI finding, with a link to fix it before the report is drafted.
Diagnosis and treatment
When you change a percentage or reasoning Chiron proposed, Chiron marks the opinion as modified and keeps its original figure beside yours, so the record shows whose opinion is whose.
Diagnosis and treatmentAlso for PTP
When a case has an evaluation, Chiron lets you choose whether the impairment rating is computed from the evaluation's exam or the latest visit, and explains what each choice means for the report.
Diagnosis and treatment
Chiron checks its own §38 tracking against your evaluators' compliance counters and surfaces any report that ran past its deadline as a candidate violation for you to review, so nothing that matters to your 8 CCR §51 reappointment risk is missed.
Laws, rules and deadlines
On an apportionment, Chiron raises whether a Labor Code §3212-family presumption, including the PTSD presumption, may apply to the occupation on file, and reminds you that a presumption does not excuse apportionment, without deciding the question.
Laws, rules and deadlinesAlso for PTP
Chiron blocks starting a QME or AME evaluation for a patient whose only cases are personal injury and explains that the evaluation is a workers' compensation instrument under Labor Code §4062.
Laws, rules and deadlinesAlso for Office
On unrepresented evaluations served on the Disability Evaluation Unit, Chiron tracks the Labor Code §4061 rating and reconsideration clocks.
Laws, rules and deadlines
Anyone holding your report can confirm it is the one you signed, using its fingerprint, without seeing any patient data.
Other
The adjuster who receives your secure link can confirm the file matches exactly what you signed, and acknowledge receipt by typing their name, which Chiron records.
OtherAlso for Billing
Chiron opens a new QME or AME evaluation on the case in one step, ready for records intake and scheduling.
Administrative workAlso for Office
Chiron classifies and structures the records served on you into your review, with live progress.
Documentation and records
Chiron shows, document by document, whether each record has been reviewed and how ready the file is for your evaluation, and lets you log when a record arrived or was reviewed again.
Documentation and records
Beside the records reviewed exhibit, Chiron gives you one line per record that expands to the full summary, shows duplicates once, counts a barred record without summarizing it, and labels surveillance and attorney or adjuster letters as not medical fact.
Documentation and records
When a proof-of-service document names a record, Chiron suggests who sent it, when and how, labelled for you to confirm, and lets you apply the answer to every record in the same packet at once.
Documentation and recordsAlso for Office
Chiron reads the parties' cover letters and suggests the list of disputed issues, each tied to a verbatim quote from the letter.
Documentation and records
Send the injured worker a link to complete the pre-evaluation questionnaire in English or Spanish, or have staff transcribe a paper copy. The answers feed the history-of-injury section.
Documentation and records
On request, Chiron prepares a working draft of any report section required by Labor Code §4628, in your first-person voice, showing its reasoning and each step it takes as it works. You personally review the records, decide every conclusion, edit and sign. You approve or edit each section, and Chiron keeps the version history.
Documentation and records
Chiron keeps every distinct wording a section has held and lets you restore an earlier one; restoring counts as an edit and resets approval.
Documentation and records
Chiron shows a read-only preview of the whole assembled report beside the section you are editing, so you see how a change reads in context.
Documentation and records
Chiron fills questionnaire fields it can already source from records on the case, carrying the fact over without inference, so you do not retype it.
Forms
Forms 105, 110, 111, 112, 122, 123, 124, 109, 31-5, 31-7, 37 and DEU-100 through DEU-103 render on demand from the evaluation.
Forms
Chiron proposes ICD-10-CM codes from the served records for you to accept.
Diagnosis and treatment
Chiron assembles a starting point for your exam findings from the case's stored records and facts, labelled as a listing rather than a drafted narrative, for you to accept, edit or ignore field by field.
Diagnosis and treatment
Chiron runs what-if permanent-disability calculations from the case's own WPI rating and apportionment against California's published statutory constants, and lets you save, reload and export the scenarios. They are calculations for your review, not legal advice.
OtherAlso for PTP
Chiron lists every impairment rating across the clinic in one read-only register, so you see what awaits a physician's review without opening each case; a rating you cannot access shows as restricted.
Send a carrier adjuster a single-use link to the attested PDF, and see each time it is opened.
Other
Chiron runs the industrial-injury eligibility determination: predesignation, Medical Provider Network lookup and pathway guidance. It keeps every version, shows when a determination is stale, and lets staff escalate a case to an administrator.
Administrative work
Record a carrier's denial of a claim. If it is a compensability denial, Chiron marks the case as med-legal and opens the Labor Code §4060 QME panel request for you.
Administrative work
When a case settles outside your clinic, upload the claims administrator's notice and Chiron reads it to propose the settlement type and effective date for you to confirm, then blocks workers' compensation billing on the claim from that date.
Documentation and recordsAlso for Billing
Every five minutes Chiron flags appointments past their slot as late or a probable no-show. When you mark a no-show, Chiron drafts the ML200 missed-appointment charge where it applies.
Scheduling
When a panel QME is replaced or cannot be scheduled in time, Chiron produces a summary of the panel's history and scheduling effort against the five Vázquez good-cause factors, built only from what was recorded.
Laws, rules and deadlinesAlso for QME/AME
If a panel's scheduling window is exceeded after handoff to the evaluator, Chiron alerts you with the five Vázquez factors that bear on whether the evaluator can be replaced.
Laws, rules and deadlinesAlso for QME/AME
Chiron shows when a closed case is blocked from further clinical work or billing, why and from what date, and lets a coordinator record a documented exception where one applies.
OtherAlso for Billing
The charges your scheduling actions trigger are drafted for your billers automatically.
Bills and collections
Register a patient and open a workers' compensation or personal-injury case at check-in. Chiron requires the mechanism of injury, accepts body parts and ICD-10 codes, and runs a setup checklist that shows what is still missing on the case.
Administrative work
On any case screen Chiron tells you up front when you have no access or read-only access and gives you the next step: manage access if you are an administrator, or a ready-written request to the case owner with no patient details, naming the administrators who can grant it.
Chiron suggests case facts from the patient's intake, such as employer or date of injury, for staff to accept one at a time, never replacing a value the case already holds; "Not sure" answers go on a to-confirm list.
Administrative work
Every week Chiron copies the State of California's public Medical Provider Network list into your clinic's records, so the carrier and network you pick at intake are current. Employer-to-carrier mappings and carrier search are built in.
Administrative work
Search, add or correct the link between an employer and its carrier, and merge duplicates safely: Chiron refuses a merge where the two records disagree rather than guessing which is right.
Administrative work
When an injury is found not to be work-related, Chiron runs the redirection checklist, drafts the referral letters for approval by a physician or administrator, and alerts administrators if a redirection stalls for more than 72 hours.
Administrative work
Chiron points you to the single most at-risk item on your worklist and tells you why.
Administrative workAlso for PTP
If you work across several clinics, Chiron combines their open obligations and authorizations into one worklist and names any clinic left out because your access does not cover it, so a quiet clinic is never mistaken for an empty one.
Administrative work
Drop unfiled documents, singly or as a ZIP of up to 200 files. Chiron reads each one and proposes the patient, date of birth, claim number, date of injury, employer, document type and date of service. It proposes a match only when it is confident and the name and date of birth agree, and abstains rather than guesses. Your team files, refiles or rejects.
Documentation and records
If you drop a PowerPoint, spreadsheet or legacy Word file, Chiron tells you exactly what to do, such as exporting it to PDF first, rather than just rejecting it.
Documentation and records
When several documents each have exactly one confident match, Chiron lets you file them in one step after showing every document and who it would go to.
Documentation and records
If reading a document is interrupted, Chiron notices within minutes and recovers it, so an upload never sits at "processing" forever.
Documentation and records
Pick a file or drag it onto the Records screen and Chiron files it to the case, first checking that it really is the type it claims and is not empty or corrupted.
When the mechanism or an uploaded record describes a cumulative-trauma period or classification the case does not carry, Chiron offers to add it, using the dates it found; nothing changes unless you say yes.
Preview and build a Bates-numbered, attested PDF or ZIP of a chart, with continuous numbering per patient across productions, an index of what has already been produced, and a one-time secure delivery link to counsel with a receipt.
Documentation and records
If a production fails to assemble, Chiron lets you retry it in one click instead of starting over.
Documentation and records
Every DWC form renders from the live case, so the claim number, WCAB (ADJ) number, employer and dates are the same everywhere.
Forms
When a provider is already booked, Chiron tells you exactly who holds the slot instead of a generic error.
SchedulingAlso for PTP
If some visits in a recurring course cannot be booked, Chiron books the rest and tells you which did not go in and why.
Scheduling
When a panel's selection window lapses, Chiron advances it along the path the regulations require for the case's representation status, instead of leaving it stalled.
SchedulingAlso for QME/AME
While Chiron is still reading documents or running an analysis, a live-work chip follows you to every screen; a failed job stays listed as failed, and work interrupted by a restart is cleared rather than shown as running forever.
If a case marked personal injury carries workers' compensation records, Chiron flags it before it is billed or reported under the wrong rules. Your team confirms or changes the case type.
Administrative work
If a case changes from workers' compensation to personal injury, Chiron keeps every request, panel, evaluation or appeal already on file readable but locked, with the reason on screen.
Administrative workAlso for PTP
Chiron lets an administrator assign a case's primary treating physician, or a physician claim an unassigned case, so no case is stuck: the DWC Form RFA and Form 5021 cannot be prepared without one.
File a patient's predesignation of their personal physician under Labor Code §4600 and keep only one valid predesignation at a time.
Administrative work
Staff can invalidate a predesignation filed in error, with a reason, and Chiron re-resolves the case's MPN status.
Administrative workAlso for PTP
Chiron shows office staff only the evaluations at your clinic and only what booking and records handling need, such as the study facility, ordering physician and date; everything clinical stays with the physician.
Administrative work
Because marking a statutory report filed is a compliance record, Chiron asks you to confirm by name, and sends you to the right screen if the item is really an authorization or still awaits attestation.
Administrative workAlso for PTP
A document never matched to a patient or case is retired after its holding period, so protected health information does not sit reachable with no case to govern access.
Documentation and records
When a document filed to the wrong patient is corrected, Chiron records the exposure for your breach assessment.
Documentation and records
Chiron lets you move a misfiled document to the right chart or remove it, with a required explanation, closing the exposure the misfile register records.
Documentation and records
If a document did not read cleanly, ask Chiron to read it again; it tells you honestly if the re-read could not start, rather than leaving the record looking read.
Chiron will not delete a record that a records review, chronology, QME finding or amendment still relies on, and tells you exactly what points to it.
If a production turns out wrong, Chiron lets you void it with a reason kept permanently on the record, rebuild it without duplicating anything, and download it with an integrity check.
Documentation and recordsAlso for PTP
Link a corrective document to the original record without altering it, tied to the patient's rights request.
Documentation and records
When a DWC form downloads with boxes the case could not fill, Chiron lists exactly what to check before you sign and serve, and keeps the list with you while you fix the case.
Ending a recurring course cancels only upcoming visits; Chiron leaves completed and in-progress visits untouched and tells you which.
Scheduling
On a case you cannot access, Chiron hides the patient's name and the reason for the visit on the calendar while still showing the time is taken.
Scheduling
Chiron tracks panel selection and scheduling windows for both sides and prefills a new panel request from the case's eligibility record.
Scheduling
Chiron records who requested the evaluation — employer, claims administrator, applicant attorney or the parties together for an AME — and lets you correct it after issuance, so forms and reports name the right party.
Scheduling
On a panel whose case you cannot access, Chiron withholds the worker's name and other details from the row but still shows its statutory deadline.
Scheduling
Every statutory deadline on every case — reports, utilization review, IMR, QME panels, med-legal reports, payments and the five-year reopening window — arrives in the inbox ahead of time, with the case linked.
Laws, rules and deadlines
Chiron lets you record exactly who a signed report was served on, how and when, including the true date of a mailed copy, giving you a defensible proof of service for each party the regulations require.
When a link to an obligation cannot open, Chiron tells you exactly why — withheld, refused, deleted, filtered out or further down the list — and what to do.
On a case you cannot access, Chiron still shows that its deadline exists and is tracked, hiding the patient and case details and every action on that row.
Laws, rules and deadlinesAlso for Admin
Chiron keeps an append-only record of everything that happened to a panel and a log of each good-faith scheduling attempt — who was contacted, how, when and the result — the evidence a good-cause request needs.
Laws, rules and deadlinesAlso for QME/AME
On a cumulative-trauma case, Chiron lists the dated facts worth checking — the injury period against the last day worked, Labor Code §5412 and §5405 timing, a claim filed after the last day worked — without concluding anything.
Laws, rules and deadlinesAlso for PTP
Chiron counts physical therapy, occupational therapy and chiropractic visits against the 24-visit cap in Labor Code §4604.5 and what the claims administrator authorized, and warns you before the limit.
Laws, rules and deadlinesAlso for PTP
When the eligibility check turns up a warning or a blocking issue, Chiron notifies the right person straight away.
Laws, rules and deadlinesAlso for PTP
A redirection letter Chiron drafts cannot go out until a physician or administrator approves it, and any later edit needs approval again.
If you have typed a reason or note that is not saved, Chiron asks before the tab closes or reloads.
Ten minutes before your sign-in expires Chiron tells you when it ends, so you are never sent to the login screen mid-sentence.
When a new version of OM is available Chiron reloads only when you click; an urgent update waits until you stop typing and saves every open draft first.
When a case closes because the injury was found not work-related, Chiron confirms the closure to your team in writing, with when and why.
OtherAlso for Admin
When a patient handed back to their own doctor after a non-industrial finding still has records that have not moved after 14 days, Chiron flags the gap.
OtherAlso for Admin
Chiron gives you one searchable list of every case, filterable by status, patient, claim type, case type, assignment and eligibility, with tiles for open cases, cases needing attention, upcoming deadlines and new cases this week; a case outside your access shows as withheld rather than vanishing.
Separately from who may open a case, Chiron lets your team name the staff member answerable for it day to day, so "which cases are mine" has a real answer.
Keep the applicant attorney, defense attorney, employer representative and claims administrator on each case, so every form and service list uses the right names and addresses.
Administrative work
Chiron gives you one view of eligibility work across the practice — claim types, pathways, Medical Provider Network status and how many determinations have gone stale — without opening every case.
Administrative workAlso for Admin
Print the eligibility determination for the chart; every page carries the OM version, so you can tell later which release produced it.
Administrative work
Chiron shows every Request for Authorization on the case you are working, so you do not hunt for it in the practice-wide queue.
Administrative workAlso for PTP
From the request queue, Chiron opens a request's full pipeline — submission, UR decision and appeal — on one screen.
Administrative workAlso for PTP
Chiron keeps a running count of what needs action, is in progress, is overdue and is done, with a seven-day trend of filings.
Administrative workAlso for PTP
Chiron searches the whole practice's worklist by worker, claim number or report type, and filters by type of work or whether it is assigned to you.
Administrative workAlso for PTP
Chiron groups every Inbox alert by kind — deadlines, care, eligibility, billing, QME, security and administration — so each person works only the alerts that are theirs.
At the top of the Inbox Chiron shows how many items are unread, need action or are statutory deadlines, how many arrived today, and a seven-day trend.
Chiron highlights the single most urgent item in your Inbox, so you have one clear next step.
Chiron emails you only about alerts with real consequences — a statutory clock, an escalation, a security event — and keeps routine updates in the Inbox.
Chiron opens an incoming document in the browser so you can read it before deciding who it belongs to.
Documentation and records
When Chiron cannot confidently match a document, it pulls a likely name or claim number from the file name and offers it as a one-click search.
Documentation and records
Send an adjuster or attorney a no-login upload link that expires in 1 to 90 days. What they upload lands in your inbox for review.
Documentation and records
Chiron extracts the text from typed and scanned PDFs, Word files and images, then pulls out the findings, diagnoses, treatment history, work-status changes and providers from each document, keeping page references for citation. Large documents are split, never silently cut.
Documentation and records
When a document belongs on more than one of a patient's claims, Chiron adds it to another case instead of a second upload, and always keeps it on at least one case so it is never left open to the whole clinic.
Documentation and recordsAlso for PTP
Chiron searches the text of every document on a case, so you find the record that mentions a finding or phrase without opening each file.
A new production for a chart you have produced before starts in one click from its history.
Documentation and records
Chiron prepares DE 2501 Parts A and B, DE 2525XX and the work-status letter from the case and visit data, and tracks whether each has been filed.
Forms
On cases with PM&R work, email the patient a link, or copy it to send another way, to complete their intake on a phone in English or Spanish, with a body diagram to mark where it hurts. Answers save as they go, never on the device, and you choose how long the link works and can stop it.
FormsAlso for PTP
Send the worker the QME pre-evaluation questionnaire link in English or Spanish.
Forms
Book single or recurring appointments, cancel a series or one visit, and check patients in. Check-in opens the visit and confirms the physician of record.
Scheduling
When more than one evaluator is still in contention, Chiron suggests which to keep: the last one standing, or the best specialty match closest to the worker.
SchedulingAlso for QME/AME
Chiron shows one timeline from panel request through issuance, strikes, scheduling, report due and §4628 completion, on your clinic's calendar, with who owes the next move.
SchedulingAlso for QME/AME
Schedule and notice testimony, and book interpreters with a fee quote.
Scheduling
Chiron searches every reporting obligation in the practice by patient, claim number or report type, not just those loaded on screen.
Press "/" anywhere and Chiron searches patients, cases, claim numbers and screens you can open, and tells you by name when something could not be searched rather than showing an empty result.
Press "?" for the shortcut list, and "g" then a letter to jump to Rounds, Worklist, Schedule, Inbox, Patients, All Cases, Incoming Documents or Records Production; shortcuts never fire while you are typing.
Every per-case screen has one case picker that searches the whole clinic as you type and keeps your case as you move between screens.
Open Help and Chiron first explains what the current screen is for and what its fields mean, then shows the articles for that screen.
Search the help library by what you are trying to do, or hand your question to Chiron, which answers "how do I…" questions from the library; if nothing matches, Help sends a request with what you already typed.
On first sign-in Chiron walks you through the real screens with a tour written for your role, and you can replay it from Help, which shows how many steps are new.
A screen that does not apply stays in the menu greyed out; tap it and Chiron tells you why and links to the fix, such as changing the claim type.
After an update Chiron shows a short plain-language list of what changed, once, and keeps it in Settings → About.
The moment a non-industrial redirection starts, Chiron notifies the people who need to know.
OtherAlso for PTP
Hand patients a plain-language summary of their Doctor's First Report in English or Spanish.
Other
Report a problem on any screen or on a report section, and get a reply when it is fixed.
Other
If Chiron cannot draft a charge for a visit, procedure, report, testimony or no-show, it tells your team in the Inbox straight away, so the work is still billed.
Bills and collectionsAlso for PTP
Chiron suggests the E/M level from the note and orders, scored against the CMS 2021 medical decision-making grid and leveling on the higher of decision-making and time. For procedures it checks the recorded codes and proposes modifiers, units and ICD pointers, and drafts a code for a procedure recorded without one. For med-legal work it proposes the ML code and computes excess-page pricing. Each suggestion shows in a "Suggested by Chiron" panel with a confidence chip; the physician or biller confirms, and every override is recorded.
Bills and collections
Every charge is priced at creation against the Official Medical Fee Schedule or the Medical-Legal Fee Schedule in effect on the date of service, and you can preview the fee before you create the charge. Each month Chiron checks for a new DWC physician fee order and loads it, checking a sample of codes afterwards and stopping to ask a person if anything is unclear. Once you add your service locations, workers' compensation charges are priced for your DWC locality; until then the statewide rate applies.
Bills and collections
Chiron records whether a personal-injury case settled, went to verdict, was dismissed, finished treatment or transferred, and ties a recorded settlement amount to the lien balance so the two never disagree.
Bills and collectionsAlso for PTP
For a denied or underpaid bill, Chiron reads the EOR, suggests whether the cause is a billing dispute, a medical-necessity denial or a liability denial, and routes you to the forum that handles it, since bill review cannot reach the latter two.
Bills and collections
Chiron lists every underpaid or denied med-legal charge whose 90-day Second Bill Review window is open, with the days left and the dollars at risk.
Bills and collections
When a settlement notice logged on a case has gone unacknowledged for 14 days, Chiron reminds you to review it.
Bills and collectionsAlso for Admin
Chiron computes the payment deadlines under Labor Code §4603.2 and §4622 in the right kind of days, skipping weekends and California state holidays where the rule calls for business days.
Forms
Chiron checks unbilled charges against the 12-month filing limit and alerts your billing team at 60, 30 and 15 days before it, rising in urgency, so no charge ages out unbilled.
FormsAlso for Admin
Chiron drafts a charge when a visit is completed, a procedure is recorded, a med-legal report is attested, testimony is completed, sub rosa footage is reviewed or a no-show is marked. Nothing billable waits for someone to remember it. Drafts are never submitted without a person.
Bills and collections
Chiron sorts your billing into one worklist of what is blocked and why — a denial, a missing EOR, an unfiled dispute — with the money at risk and the next step.
Bills and collections
Open an appeal on a denied or underpaid charge and Chiron prepares a populated, clearly labelled equivalent of the DWC Second Bill Review (SBR-1) and Independent Bill Review (IBR-1) request forms, and shows the IBR filing fee.
Bills and collections
Chiron drafts a Second Bill Review or Independent Bill Review narrative from the EOR, the fee-schedule amount and the statute, with each source one click away, for you to review and file.
Bills and collections
Whenever Chiron drafts a charge, it tells your billing team a new draft is waiting, so nothing sits unreviewed.
Bills and collections
Open a charge yourself for a service Chiron did not draft, with code, modifiers, diagnosis pointers, units and date of service, and Chiron prices it against the fee schedule in effect.
Bills and collectionsAlso for Office
Each time you open Billing, Chiron totals the overdue, denied, underpaid and disputed charges and points you to the queue to work before a statutory window closes.
Bills and collections
When an interpreter booking is cancelled with less than 24 hours' notice, Chiron applies the two-hour minimum still owed and drafts the charge to the claims administrator.
Set your practice's own fee schedule for personal-injury cases under Billing, where the OMFS does not apply. Chiron keeps a running lien balance on each personal-injury case, records reductions and settlements, and produces a lien statement PDF for the patient's attorney.
Bills and collections
When a bill is paid late, Chiron calculates the penalty and interest the payer owes, choosing the correct rule: Labor Code §4603.2 for treatment bills and Labor Code §4622 for medical-legal bills. For a med-legal bill the increase applies to the portion unreasonably unpaid, and Chiron says when and why it does not apply. It is easy to miss without a calculation.
Bills and collections
See receivables by age and the med-legal bills approaching their second-review deadline.
Bills and collections
Denial rates and payment performance by carrier, so you know who to chase.
Bills and collections
When a carrier's denial rate on your charges rises above 30 percent, Chiron sends an Inbox alert naming the carrier, so you can act before more money is lost.
Bills and collectionsAlso for Admin
No-shows and late deposition cancellations produce their charges automatically.
Scheduling
Revenue by ML code over time, receivables aging, report turnaround and upcoming depositions.
Other
Chiron lets you search and filter charges by case, status, type and date; search returns only cases you may open, and charges you cannot see are counted as withheld, never silently hidden.
Bills and collectionsAlso for Office
Chiron generates the CMS-1500 from the charge, using the billing provider NPI, tax ID and address you register once.
Bills and collections
Chiron keeps a log of every export you have handed to your billing partner, lets you download a hand-off again, and lets you undo one that went out by mistake.
Bills and collections
Chiron surfaces payers that may be the same organization under different spellings, with how many records each touches, and changes nothing until you merge them or mark them distinct.
Bills and collectionsAlso for Admin
Upload or paste a carrier's EOR and Chiron reads it into proposed payment and denial fields. Nothing posts until a biller reviews and confirms.
Bills and collections
When facts on the line, such as muscle count or imaging guidance, do not match the recorded procedure code, Chiron warns you and suggests a better-fitting code without replacing yours.
Bills and collectionsAlso for PTP
Chiron flags a drafted charge that looks like one already on the case and asks you to confirm before you bill it twice.
Bills and collections
Administrators see how often Chiron's coding suggestions were accepted or changed, and how many E/M levels physicians chose to confirm at sign-off (an optional step, never required to complete a visit).
Bills and collections
Chiron shows how much of the Official Medical Fee Schedule is loaded, so you know why a charge came back unpriced.
Bills and collections
Chiron tells you whether a typed CPT, HCPCS or ML code is known and well-formed. It advises; it does not refuse.
Bills and collections
One de-duplicated list of carriers, claims administrators and employers. Mark a payer as governmental and Chiron applies the longer payment window that Labor Code §4603.2(b) gives it. Duplicate spellings can be merged everywhere at once.
Bills and collections
Chiron checks the claim number on an Explanation of Review against your bill and warns you before you post if it may answer a different claim.
Bills and collections
Post payments with the denial reason where there is one, and write off a balance with a reason recorded separately from a denial.
Bills and collections
Billers can fix claim, employer and insurer details on a case without seeing or touching clinical content.
Administrative work
Every action on a charge or appeal is logged with who did it and when.
Administrative work
ICD-10 pointers on each charge come from the diagnoses the physician confirmed, checked against the official ICD-10-CM table, so a claim never carries a code the chart does not support.
Diagnosis and treatment
Move charges through draft, validated, submitted, paid, denied and appealed singly or as a batch, and Chiron tells you exactly which charges in a batch succeeded and which did not.
Bills and collections
Export your claims in one click as a file you hand to your billing partner.
Bills and collections
Charge counts and dollars by status over any period, and the billing and accounts-receivable aging register as a CSV or Excel export. Exports that would exceed the row limit are refused rather than silently cut short.
Administrative work
Each physician enters their licence, NPI and DEA number under Settings → Profile. Chiron validates the NPI checksum and checks it against the national NPPES registry, and you verify. A licence prints on prescriptions only after you verify it, and a DEA number is needed only for controlled-substance prescribing.
Documentation and records
Settings → Setup lists what your clinic still needs — letterhead and logo, service locations, physician credentials and billing details — and ticks each item off as soon as it is done. Service locations unlock area-based pricing.
Administrative work
Practice KPIs, physician agreement with Chiron's recommendations, and four core registers — cases and utilization review, billing and receivables aging, compliance, and productivity — as CSV or Excel.
Reports and oversight
Set your own prices for personal-injury work, where the OMFS does not apply, and see each personal-injury case's lien balance.
Bills and collections
Add users, change roles, deactivate leavers and see the whole roster. Each role — physician, coordinator, front desk, billing staff, administrator — sees only what its work requires.
Administrative work
Set the clinic's default case-access policy, see every active grant, and grant or revoke access directly. The primary treating physician can grant treating, consulting or read-only access to an individual case.
Administrative work
Chiron counts the case-access grants that expire within a week, so you renew them before someone is locked out.
Administrative work
Require multi-factor authentication for everyone, reset a locked-out user's second factor, or grant time-boxed emergency access of up to 60 minutes with a written reason that is logged and alerted.
Administrative work
Chiron lets any user turn on two-factor sign-in with an authenticator app, even when the practice does not require it, gives one-time recovery codes, and lets you check your status, turn it off or get fresh codes.
When your practice requires two-factor sign-in and a user has not set it up, Chiron lets them finish signing in, walks them through setup and lands them on their normal home screen.
Chiron shows every device signed in to your account, with its address and type, and lets you sign out any you do not recognize, or every other session at once.
For users in a clinic group, a bar under every page title names the clinic and city you are acting in, in its own colour, marks clinics where you are view-only, and shows the time zone when the group spans more than one.
Chiron shows, read-only, whether your clinic is linked with others into one utilization review practice group and which clinics, so a blocked request makes sense.
Administrative work
Track your clinic's credentialing requirements by service location. Chiron warns 60 or 90 days before an item expires, depending on its type. It never suspends a user or closes a clinic on its own.
Documentation and records
Chiron tells you, every time you load the page, whether your clinic is ready to open or how many requirements are outstanding.
Documentation and records
Chiron shows what each physician currently cannot do — prescribe, bill, treat or be offered as a QME — when one of their credentials lapses, without that lapse blocking the rest of the clinic.
Documentation and records
When a licence, DEA registration, malpractice policy or MPN membership actually lapses, Chiron tells you at once, as a separate and more urgent alert than the earlier warning, which capability has been withdrawn.
Documentation and records
When a stored tax ID is shown masked, Chiron tells you to leave the box empty unless you are replacing it, so a correct number is not overwritten.
Documentation and records
Every due and overdue reporting obligation across the clinic, and a service matrix showing who must be served and whether service was recorded. Reports that were signed but never sent are flagged.
Laws, rules and deadlines
Chiron separately counts reports attested but not yet marked submitted, and reports signed but not yet proven served on the claims administrator, so a filing gap does not hide in the general deadline count.
Track individual rights requests, breach incidents with their notification clocks, your business associate subcontractors and your pilot terms.
Laws, rules and deadlines
Chiron sets the right response deadline the moment you log a patient-rights or CCPA request — your agreement's faster clock, or CCPA's 45 days — and lets you close it with a lawful outcome, including denial.
Laws, rules and deadlines
Chiron starts the 72-hour preliminary and five-business-day notification clocks from the discovery date you log, and lets you mark each notice sent without claiming to send it for you.
Laws, rules and deadlines
Chiron flags any active subcontractor with PHI access that has not received the required written notice as an unmet obligation today.
Laws, rules and deadlines
Chiron shows when your BAA, pilot agreement and AI addendum were executed and when the term ends, including which date governs after an extension.
Laws, rules and deadlines
Search the audit trail of every read and change of protected health information, by user, patient, case, resource or action.
Laws, rules and deadlines
Chiron shows an IP address in the access log only when it truly is the user's, and says plainly when an access cannot be tied to one patient.
Laws, rules and deadlines
Chiron shows every emergency access granted on your practice, to whom, with the written reason and whether it was used.
Laws, rules and deadlines
Every five minutes Chiron looks for bursts of failed sign-ins and unusually large reads of patient records by one user, and alerts administrators.
Laws, rules and deadlines
For each closed case, see which records are retained, where, and until when, including the longer minimum for personal-injury cases. Before retention removes anything, a nightly report records what it would affect.
Laws, rules and deadlines
Once a records production's retention period passes, Chiron deletes the file itself, a full copy of a chart, while keeping the record of what was produced, its manifest and its fingerprint, so you can prove what went out without the extra copy sitting as breach exposure.
Laws, rules and deadlinesAlso for Office
Produce a complete export of your clinic's records, with a manifest of exactly what it contains, and download each file. Chiron will not treat an incomplete export as a full copy.
Laws, rules and deadlines
Every deadline alert and scheduled report runs on your clinic's local time, so a deadline computed for California is a California deadline.
Scheduling
Register your billing provider NPI, tax ID and address once for every claim form, and keep one clean payer list.
Bills and collections
Chiron shows how often physicians kept its causation, apportionment, MMI and work-restriction drafts, by kind, counting drafts with nothing to compare separately.
Reports and oversight
Chiron lists the most common pairs of its suggested code and the code actually billed instead, so you see which overrides drive coding agreement.
Reports and oversight
Chiron groups coding agreement by the version of its coding rules that made each suggestion, so a change can be dated to a change in Chiron.
Reports and oversight
Chiron flags any help request that never reached your practice's support inbox, so you know when someone believes they asked and nobody heard, and tracks each request from open to resolved.
Reports and oversight
Chiron records the errors your team actually runs into, grouped by how often they happen and with no patient data, so you can see what is broken and track it from new to fixed.
Reports and oversight
Chiron lets each user choose how far ahead of a deadline to be warned and which alerts arrive by email or in the app.
If you run several clinics, MindHYVE can link them into a group on request, grant a user a specific function across all of them within a role ceiling, and provide group-wide work queues. When a sister clinic requests a treatment that UR has already denied at a linked clinic, Chiron flags the request and explains why the denial still binds.
Administrative work
Chiron shows the clinic record MindHYVE holds for you — clinic type, the editions you subscribe to and your billing contact — without a call to support.
Administrative work
PM&R tools are on by default and appear on cases with PM&R work. You can switch them off for your clinic.
Administrative work
For every requirement blocking your clinic from opening, Chiron states the exact instruction that closes it.
Documentation and records
Chiron groups outstanding credentialing items by who owes them — the practice manager, a physician, your compliance officer — so you send one message per person.
Documentation and records
Upload your letterhead and logo once, and every Doctor's First Report, PR-2, P&S report, QME report and visit note uses it. You set it under Settings → Practice.
Documentation and records
View your plan and invoices and manage your payment method.
Bills and collections
Chiron exports the practice figures you are viewing — visits, analyses, agreement and case mix — as a CSV for the range you chose.
Reports and oversight
See your clinic's AI usage by feature and by user, and the reasoning depth each task runs at. Chiron tells you when a total is a lower bound because some requests ran before a price was on file, and flags any task whose depth has been temporarily reduced after a service slowdown.
Reports and oversight
A seven- and thirty-day summary of the screens where staff hit a dead end, collected without any clinical content, so you know where training helps.
Reports and oversight
See platform status and maintenance notices in the banner at the top of OM, and track support requests your staff submit.
Reports and oversight
You stay in charge
Chiron does a great deal, and some things it deliberately does not do.
Reports, determinations, opinions, prescriptions and declarations are signed by the physician, and several can only be signed by the physician.
Diagnoses, causation, apportionment, impairment, MMI, work restrictions and treatment are the physician's decisions. Chiron's recommendations enter a report only after the physician adopts, edits or disagrees.
Charges are drafted; a person confirms the codes and submits.
EOR readings are proposals until a biller confirms them.
Prescriptions are written, checked and signed in OM and printed. Drug interaction flags are Chiron-flagged, not a validated interaction check.
Settlement-readiness summaries are neutral by design.
When the record does not support an answer, Chiron says so.
One principle runs through everything. Every clinical, diagnostic, causation, impairment, treatment and coding suggestion Chiron makes is a draft. The treating or evaluating physician reviews it, accepts, edits or rejects it, and signs. Chiron never signs, never files a medical opinion on its own, and never presents itself as a licensed clinician. Where this guide says Chiron "drafts", "suggests" or "recommends", the physician decides.
A live demo on a synthetic case, with the part of OM that matters to you.
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
Prefer to talk now? +1 (949) 200-8668, or email hello@mindhyve.ai.