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Almost every AI product in medical-legal work points at the record. Very few point at the report.
That is the strange part, because the QME or IME report is the artifact. It is the thing that gets deposed, disputed, and sent back. It is the only document anyone outside your office ever reads. And it is the one most platforms will not touch, because forming a view on a physician's finished work is uncomfortable in a way summarizing records is not.
We built for it anyway.
Three checks get bundled under one word. They are not the same thing.
Completeness. Is everything a QME report is required to contain actually in it. Causation opinion stated. Signature block complete. Medications section present. None of this is hard. All of it is easy to miss at eleven at night on the fourth report of the week.
Internal consistency. Does the report agree with itself. A GAF score that does not match the testing described four pages earlier is not a typo, it is the sentence opposing counsel reads aloud.
Support. Does the record support what the report says. This is the expensive one, because answering it means reading both.
A reviewer three weeks later will find all three. So will the other side.
Your finished report is checked against your specialty's requirements: the list a veteran evaluator keeps in their head, running on every report, every time.
The output is a list of findings, each one pointing at a page. Causation opinion over 50 percent stated, page 17, present. Signature block incomplete, page 66, gap. GAF consistent with testing, page 13, present. Medications section, page 8, gap.
Then the boundary, stated precisely: it analyzes what is in the report. It does not write anything into it. Every correction is yours to make or to reject. The opinion in that report is the reason anyone hired you, and it should stay yours.
A finished report goes to more than one desk, and each desk is asking a different question of it.
Medical experts. Your finished report checked against your specialty’s requirements: the list a veteran evaluator keeps in their head, running on every report.
Legal experts. Test the report against the record: strengths, weaknesses, and the gaps between opinion and evidence.
Insurance and risk experts. Does the report support the determination? Test it against the record.
Practice management. A consistency check on every report before it leaves your practice, so quality doesn't depend on which doctor wrote it.
The same engine serves all four, because the underlying question is the same one from different sides: does this document hold up against the file it came from.
Report review is invisible right up until the moment it is not.
"The detail is fantastic. Actually better than previously. At a deposition, I learned first hand how the previous service had over summarized everything while the attorneys for the employer had systematically read everything. The notes from the previous service had totally ignored some of the most critical information."
That is a medical evaluator describing the failure mode exactly. The other side read everything. The summary did not. The gap surfaced under oath rather than in the office, which is the worst possible place to find it.
Testing the report before it ships moves that discovery three weeks earlier and into a room where you can still do something about it.
Before a report is ever tested, the record work behind it can get a second pass.
Add expert human review to any case: a human reviewer and an AI reviewer, each checking the other's work.
When our reviewers catch something, the workflow itself gets updated. The system gets sharper with every case.
Report review is the last step, and it is better when the earlier ones fed it. See how the record becomes a cited chronology, and one case file moving from records to report.
Your records are encrypted, access-controlled, and HIPAA compliant.
Thirty minutes, on your own work rather than a demo file. Bring a QME or IME report you know well and see what comes back.