Injured workers — ChironAI™ OM

01

Right path from day one

Eligibility, MPN lookup and redirection when care is not industrial.

Eligibility, MPN lookup, redirection when care is not industrial, EDD disability forms and work-status letters — the worker is never left in limbo.

Runs the §3600 eligibility determination — predesignation, MPN lookup, pathway guidance — with an override when the facts call for one.
The state’s public MPN list is synced weekly from California DWC data.
When an injury is not work-related, a redirection workflow with an approval gate gets the patient to the right coverage.
Prepares EDD state-disability forms (DE 2501 Part A/B) and work-status letters from the case.
A link for the injured worker to complete the QME intake questionnaire is being built; today staff enter it. Coming

02

IMR appeals opened and drafted before the window closes; a compensability denial opens the §4060 path.

Every IMR-eligible denial gets an appeal record, a drafted rationale and a hashed packet — before the window closes.

Drafts each rationale section supporting the appeal, grounded in the case record, for the physician to edit.
Assembles rationale and exhibits into one finalized, hashed PDF packet.
A daily sweep opens appeal records for IMR-eligible UR decisions that are missing one, and sends tiered deadline alerts.

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.

03

EDD disability forms and work-status letters prepared from the case.

Eligibility, MPN lookup, redirection when care is not industrial, EDD disability forms and work-status letters — the worker is never left in limbo.

Runs the §3600 eligibility determination — predesignation, MPN lookup, pathway guidance — with an override when the facts call for one.
The state’s public MPN list is synced weekly from California DWC data.
When an injury is not work-related, a redirection workflow with an approval gate gets the patient to the right coverage.
Prepares EDD state-disability forms (DE 2501 Part A/B) and work-status letters from the case.
A link for the injured worker to complete the QME intake questionnaire is being built; today staff enter it. Coming

More reasons

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