Eligibility and routing
WC, MPN, and care-pathway rule families with versioned determinations. §4600 predesignation check. §4616 MPN verification with weekly sync from public data.
Edition 02OM · Occupational Medicine
The OS for occupational medicine. Built around five jobs in every visit.
ChironAI™ OM is the Agentic Healthcare Operating System for occupational medicine and workers' compensation practice. Built first for California — the most regulated WC market in the country. National frameworks follow.
The five rolesSection 02
A workers' comp physician carries five jobs in every visit: clinician, forensic investigator, regulatory clerk, billing manager, expert witness. ChironAI OM is built for all five.
- 01Clinician
Diagnose. Treat. Apply guideline-aware care.
- 02Forensic Investigator
Determine work-relatedness. Apportion industrial and non-industrial cause.
- 03Regulatory Clerk
Author DWC reports. Track deadlines. Survive audit.
- 04Billing Manager
Code to the fee schedule. Track the pay rule. Compute penalties and interest.
- 05Expert Witness
Build a defensible record. Sit for deposition with the evidence trail intact.
The PR-2 writes itself, with your edit. The deadline tracks itself, with your view. The causation reasons itself, with your final say. You stay the doctor.
CapabilitiesThree specialty deep-dives
What ChironAI OM does today.
ReportingOperations Operations
DWC Form 5021 →
Doctor’s First Report of Occupational Injury or Illness. 5-day deadline computed with the California holiday calendar. Form mapper visualizes every section before sign-off.
ReportingPR-2 progress reports →
45-day cadence or material-change trigger. Auto-drafted from the consultation context; physician edit on every section before signature.
ReportingPS/MMI determinations →
Permanent and Stationary determinations under California Labor Code §4061. Triggered by clinical milestone, deadline-tracked, physician-attested.
ComplianceAB 3030 attestation →
Every AI-assisted report carries the AB 3030 generative-AI disclosure. Non-dismissible by design; persists through the signed PDF.
WorkflowDeadline arithmetic →
California business-day calculation with the state holiday calendar. Daily 07:00 cron surfaces approaching and overdue reports per practice.
ForensicAOE/COE causation →
Arising-out-of and course-of-employment analysis under California Labor Code §3600. Multi-Digital-Employee coordination when the case demands it.
ForensicApportionment →
Industrial vs non-industrial apportionment with source-grounded reasoning across the longitudinal history.
ForensicVersioned causation analyses →
Every analysis is versioned and audit-trailed. Must-review-before-final gate at the data layer; physician signs before any payer or attorney sees it.
ClinicalSmart exam templates →
Body-region-specific exam templates with structured visit context, carry-forward from prior visits, prior-value diff hints.
ClinicalMTUS / ACOEM alignment →
Treatment plan checked against MTUS (California) and ACOEM (national) guidelines at point of care. Deviation surfaces with rationale.
ClinicalStructured work restrictions →
Restrictions composed in a structured vocabulary, exported to the DWC form and the employer modified-duty letter simultaneously.
Claim-type determination
Industrial, denied, delayed, first-aid, non-industrial. Determined from the consultation context and surfaced inline.
Geographic scope
Built first for California.
California's workers' compensation regulation is the most demanding in the United States — DWC Form 5021 with 5-day deadlines, MTUS treatment guidelines, MPN provider networks, the §4603.2 45-day payment rule, the §§4663/4664 apportionment framework, and the California-specific AI-in-healthcare statutes (AB 3030, SB 1120, AB 489).
Shipping there first means the architecture is hardened against the hardest case. National workers' compensation frameworks follow — same OS, same Digital Employee, calibrated to the regulatory chain of each state.
Architecture
Powered by Eve-Healthcare™ F5/reasoner.
The same Fusion-of-five compound reasoning architecture that powers ChironAI CDS. Microsoft Phi-3 as classifier. Microsoft Phi-4 LoRA-fine-tuned on Eve-Genesis (Clinical Edition) as the clinical reasoner. Anthropic Claude Opus 4.7 and OpenAI GPT-5.4 as frontier slots. Meta Llama 4 Scout for 10M-token longitudinal context. Llama 4 Vision for imaging.
Eve-Genesis (Clinical Edition) is the synthetic clinical reasoning corpus that trains the Phi-4 clinical reasoner. The OM regulatory adapter on Phi-4 encodes the regulatory reasoning that drives ChironAI OM — DWC reporting logic, MTUS / ACOEM alignment, AOE/COE causation patterns, the deadline arithmetic.
Read the architecture →Solo or small practice?
ChironAI OM was built for the solo WC physician in their first hundred cases as much as for the multi-site group.
Self-serve OM signup is shipping. Solo and small-practice WC physicians can join the waitlist now and be invited in priority order when self-serve opens. Same product, lighter onboarding, per-physician monthly billing.
A note to the reader
Talk to our team.
For California workers' compensation physicians, occupational-medicine clinics, QME and AME evaluators, and the practice administrators who run them.
Start a conversation →