A typical California workers' comp QME case arrives as a 500–3,000 page PDF. Manual review takes 6–12 hours before a single word of the report is written.
Reading every page of every medical record to build the chronology manually. Duplicate records. Out-of-order files. Records from 10+ providers.
Defense and plaintiff attorneys will challenge any finding not tied to a specific record and page. Re-reviewing a 2,000-page file to find one citation costs hours.
Classifying record types, extracting dates, building a chronology — this is structured, repeatable work that doesn't require a physician's judgement and shouldn't take physician time.
A QME physician reviewing 3–4 cases/week is spending 30–40 hours/week on record review alone. The ceiling is set by manual review time, not physician capacity.
From raw PDF bundle to physician-ready review package. All findings cite source page numbers.
Upload the complete medical record package (PDF, multi-file ZIP, or direct EHR export). System accepts scanned documents, native PDFs, and mixed-format files up to 10,000 pages.
AI classifies every document by type: progress notes, emergency records, operative reports, radiology reports (with impressions extracted), physical therapy records, prior QME/AME/PQME reports, pharmacy records, work status notes.
50+ document types recognisedEach record yields structured events: date, provider, facility, diagnosis codes, treatment rendered, medications prescribed, work restrictions. All extracted with confidence scores.
Source page cited for every eventDated chronological timeline of all medical events — from date of injury through present. Each entry links to the document and exact page number where it appears. Duplicates flagged, gaps in treatment highlighted.
Every entry: Record type / Date / Provider / Page #Structured narrative of the claimant's medical history by body part and condition — past medical history, mechanism of injury, treatment history, current status. Physician edits and finalises.
Structured drafts for standard QME report sections based on extracted data. Physician reviews, edits, and makes all clinical determinations — causation, apportionment, work restrictions, future medical treatment. The AI assists; the physician decides.
All draft sections clearly marked for physician reviewPhysician reviews and finalises every section. All medical conclusions are the physician's own. The final report is physician-generated and compliant with California DWC Title 8 requirements.
They solve different problems. Both can be used together.
Fixed-price projects. You own the code. No per-case SaaS fees.
All prices USD. Scope varies; pricing confirmed after discovery call. Typical payback period: 3–6 months for a QME physician handling 4+ cases/week.
QME software helps California Qualified Medical Evaluators manage case workflow: document management, chronology building, report drafting, and DWC compliance. XPndAI builds custom AI-powered QME systems that automate the most time-consuming part — reviewing 2,000+ page medical files, building source-cited chronologies, and generating structured drafts for physician review.
No. All clinical and legal conclusions — causation, apportionment, permanent disability, future medical treatment — remain with the licensed QME physician as required by California DWC regulations. The AI handles document processing and drafting assistance only.
QME Companion is a SaaS practice management platform (billing, scheduling, DWC forms). XPndAI builds a custom AI system for the medical record review and drafting workflow — the 8–12 hour-per-case work that QME Companion doesn't automate. The two are complementary and can be integrated.
Yes. XPndAI builds HIPAA-compliant software with PHI encryption at rest and in transit, role-based access controls, audit logging, and BAA capability. Deployment options include private cloud (AWS US-East/West or Azure US) or on-premises. We do not use patient data to train general AI models.
Yes. The same record review and chronology system works for IME physicians nationally. XPndAI can configure the system for different jurisdictions, report templates, and payer requirements — including workers' comp, personal injury, and disability evaluations.
We'll walk through your current record review workflow, show you a live demo with a sample medical file, and give you a scoped quote — all in one call.