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.