Chiron reads your adopted causation, apportionment and impairment determinations the way the other side will — hunting for the gap in the evidence, the inconsistency, the unsupported step.
Pass two · the response
Here is how you would answer.
For every weakness, Chiron prepares a response from the record. You decide what changes — the opinion stays yours.
A two-pass review of adopted causation, apportionment and impairment determinations: pass one hunts weaknesses as opposing counsel would; pass two prepares a response for the physician to decide on.
The result is saved as a defense packet, and submission is refused while any exposure is held for review.
Reviews an opposing QME or UR report for substantial-evidence gaps and prepares a working draft of a rebuttal letter, every quote grounded in the source, for the physician to edit and sign.
Real output
What a defense packet looks like.
Run on a synthetic case in the OM demo environment — no real patient, no real claim.
Built on
The evidence discipline underneath.
§4062.3 record digest
An evaluator-scope chronology built only from admissible records — and a second reader that tries to refute every entry before you see it.
Builds the case chronology per scope: evaluator (admissible records only, Lab. Code §4062.3) or treating (full chart), each entry citing its source document.
A second pass tries to refute each entry against its cited source and marks it confirmed, unsupported or contradicted.
Where two sources disagree — treating versus prior QME on causation or work status — the conflict is surfaced neutrally, citing both.
Chiron recommends. You adopt, edit or disagree.
For causation, apportionment, MMI and work restrictions, Chiron lays out the evidence and a suggested position with its reasoning — the conclusion is yours, and only your decision is recorded.
Chiron sets out a suggested causation, apportionment, MMI or work-restriction position with its evidence, verified by a separate pass; the physician decides the conclusion — adopt, edit or disagree.
A server-side guard, in two independent layers, lets the causation-opinion section draft only from the physician’s own decision or a finalized analysis — never from an unreviewed AI analysis.
Impairment and apportionment
AMA Guides 5th-edition ratings and multi-factor apportionment, drafted with their reasoning and checked for Almaraz/Guzman support.
Chiron proposes the AMA Guides 5th-edition chapter, table and category per body part from diagnoses and exam findings.
Checks whether a rating that departs from a strict Guides category carries the documented justification Almaraz/Guzman requires.
Analyses industrial and non-industrial causation-of-disability factors across sources and prepares a working draft of the apportionment narrative; the physician decides the conclusion.
Admissibility flags and ex parte log
Objections, strikes and one-sided contacts are on the record, per document — so nothing inadmissible quietly shapes the opinion.
Per-document admissibility flags record objections, orders, strikes and retractions; a medical-record objection marks a record disputed, a nonmedical objection excludes it.
Ex parte communications are logged and classified, and the aggrieved party’s §4062.3(g) election is recorded — never auto-terminated.
Put your hardest case through it.
A live demo on a synthetic case — panel, records, report, billing. The AI reasons. The clinician decides.
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.
