Be the doctor. Let Chiron run the claim.

Five seats. A fifth opens only when the case is hard.

Chiron leads every case and Issac always assesses utilization-review and IMR-denial risk. Justine convenes when apportionment or mixed causation is in play; Eli convenes when there is a billing dispute to reason through. The fifth seat — Theo, on ethics and fairness — opens automatically the moment Chiron’s own confidence drops below 70%. It runs in parallel and degrades gracefully: the right specialists, on the right case, every time, never more than the case needs.

It shows you the thinking, not a spinner.

A live, step-by-step trace of what the system is actually doing — which specialist is running, which guideline it just retrieved, which source it found — engineered to never fake a progress bar. The chain of thought that produces the answer is never the thing rendered to you; what you see is honest about what is happening and when.

“Ask the Case” answers only from what is actually there.

Ask the case anything and the answer is grounded only in the real record and the guideline corpus, with an inline citation on every claim. A hard code guardrail deletes any citation the model did not actually retrieve — backed by an ICD-10 hallucination guard and apportionment-citation validation. If the record does not say it, the answer does not either.

Every finding cross-examines itself before you see it.

Each specialist’s initial finding runs its own verification pass before the final answer reaches a physician: did I invent anything not in the record? What would opposing counsel argue? Would this survive cross-examination? “Defend This” takes the same posture a step further, arguing against the determination first — as the defense QME, the UR reviewer, the carrier — before building a submit-ready defense packet.

Bounded agency, enforced in code — not a policy.

Physician review-and-override endpoints on every determination; deterministic engines that override the AI on every number that must be exact; an IMR-eligibility classifier engineered to fail open so a worker’s appeal window is never lost to a false negative. Agentic means it takes initiative. It does not mean it decides alone.

The legal math is code

Impairment combination (AMA Guides 5th), the §4664 prior-award offset (the Brodie/Strait three-prong test), and the §4062 QME panel process run as deterministic, auditable engines — versioned, pure, audit-traced. The same inputs always produce the same result, and the result carries its derivation. Nothing that must be exact is left to a probabilistic draft; the reasoning is agentic, the math is code.

Anyone can check the signature — with zero PHI

A SHA-256 hash binds the physician’s attestation to the exact PDF rendered at signature time. Four public, no-login, zero-PHI, rate-limited verification endpoints — IMR, QME, PTP-QME, and closure — let anyone holding a report confirm it has not been altered since it was signed.

Two dozen real MTUS / ACOEM guideline texts, cited

Treatment and causation calls are retrieved from 24 authentic California DWC guideline documents — the actual published texts, refreshed as DWC updates them, not a summary — alongside the controlling case law (Escobedo, Brodie, Strait, Hikida, Almaraz/Guzman, Dubon/Bodam, Vázquez). Deviation surfaces with the citation and the rationale.

Your clinic’s data lives in its own database

Postgres row-level security runs across the full schema, and every clinic additionally gets its own separately provisioned database and tenant blob storage — not a shared table with a tenant flag. An immutable PHI access log and breach detection (failed-auth bursts, cross-tenant attempts, mass export) run underneath, mapped to HIPAA.

• ·AOE/COE causation under §3600
• ·Industrial / non-industrial apportionment (§§4663–4664)
• ·Whole Person Impairment — AMA Guides 5th, DRE/ROM
• ·UR / IMR denial-risk scoring before the RFA goes out
• ·The Round Table — specialists convened by the case
• ·“Defend This” — adversarial pre-mortem before you submit
• ·Versioned, audit-trailed causation analyses

• ·Body-region exam templates with carry-forward + prior-value diffs
• ·MTUS / ACOEM alignment checked at the point of care
• ·Structured work restrictions → DWC form + modified-duty letter
• ·Longitudinal working record across every visit

• ·DWC Form 5021 — 5-day deadline, holiday-aware, field-mapped
• ·PR-2 progress reports on cadence or material-change trigger
• ·PS / MMI determinations under §4061
• ·AB 3030 attestation — non-dismissible, persisted to the PDF
• ·California business-day deadline arithmetic, daily surfaced

• ·Eligibility, MPN (§4616) & §4600 predesignation routing
• ·Claim-type determination — industrial, denied, delayed, first-aid
• ·OMFS coding & the §4603.2 45-day pay clock, penalties + interest
• ·Cryptographically verifiable, deposition-ready record