ChironAI™ OM · why: one system

Intake to closure. Clinical to billing. One case file.

Workers’ comp and personal injury, treating and med-legal, clinic and group — one operating system for the whole claim.

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01

The whole lifecycle

Eligibility, treatment, reporting, med-legal, billing and closure on one case.

The injured worker’s path, kept moving

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

Official DWC and QME forms

The forms you file — 105, 110, 31-5, 122, 37, DEU-100 series, PR-2, PR-4, RFA, 5021, CMS-1500 — filled from the case, with PDF/A copies for EAMS.

  • One Documents & Forms catalog per case renders the official DWC, QME and DEU forms from case data.
  • Produces a separate PDF/A filing copy, fonts embedded, for EAMS.

Fee-schedule-checked charges, EORs and appeals

Every charge priced against the OMFS/MLFS, every EOR read and proposed for posting, every underpayment on a path to second review and IBR.

  • Charges are validated against the OMFS, MLFS or your own practice fee schedule before they are created.
  • Upload or paste an EOR; Chiron extracts a proposed payment posting that a biller confirms — nothing posts on its own.
  • Appeals against denied or underpaid charges are tracked as the ladder to second review and IBR.
  • Builds the 837P claim file for your billing partner to transmit.
  • A med-legal practice dashboard shows revenue by ML code, receivables aging with §4622 exposure, report turnaround and the panel pipeline.

Case closure and settlement readiness

P&S readiness, a six-part settlement-readiness summary that never estimates value, future-medical framing and a hashed closure packet.

  • Drafts an MMI / permanent-and-stationary readiness assessment grounded strictly in completed-visit records.
  • Drafts a six-section settlement-readiness summary under a neutrality rule that forbids settlement-value estimates.
  • A finalized closure packet can be verified by its hash.

02

Records in, one way

Upload, ZIP import or a secure outside-party link — all into one intake queue.

Document intake inbox

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

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

See it run on a real claim.

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

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Next stepOne conversation

See it run an encounter that looks like yours.

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

Talk to our team →

What happens after you send it

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

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