DCH ChiropracticCalifornia QME, AME, and IME work

Make each panel profitable and defensible with less grind.

Record review for doctors of chiropractic who take QME and AME panels. Chiropractic treatment, imaging, PT, prior pathology, work restrictions, and P&S evidence arrive assembled into one chronology, with a page citation behind every line. You review the full file. The opinion stays yours.

Built by Gemini Legal, a California legal-support company serving workers’ compensation since 2004. Gemini Legal has processed 100M+ workers’ compensation and medical-legal pages.
Chronology, cited
Sample · synthetic data
Date
03/14/2024
Initial chiropractic examination
Lumbar flexion restricted, positive straight-leg raise on the right. Manipulation and modalities initiated.
Treatment note, p. 389
Date
05/02/2024
MRI lumbar spine without contrast
L4-L5 protrusion with foraminal narrowing. Degenerative change described as chronic.
Imaging report, p. 214
Date
09/18/2019
Prior lumbar complaint, pre-injury
Urgent care visit after a non-industrial lifting incident. Six visits documented.
Prior records, p. 41
Date
01/09/2025
Permanent and stationary declared
No repetitive bending, lifting limited to 20 lbs.
Work status report, p. 512
Evidence in the record

What’s in the record, and how you get to it.

A chiropractic panel file brings together treatment, imaging, rehabilitation, prior history, work status, and impairment evidence. ChartInsight places dated entries with provider details, extracts, and page ranges in one chronology so you can search, sort, and verify the source page.

Chiropractic treatment in the chronology

Sample · synthetic data

Examination findings, manipulation, visit frequency, response, and the point when care stops changing function. Today that thread is spread across treatment notes, reassessments, and follow-ups.

Initial chiropractic examination
Lumbar flexion restricted, positive straight-leg raise on the right. Manipulation and modalities initiated 3x weekly.
Treatment note, p. 389
Care plan reassessment at 12 visits
Reported 40 percent symptom improvement, ROM improved in flexion, frequency reduced to 2x weekly.
Treatment note, p. 431
Plateau documented
No further functional change across six visits. Supportive care discussion recorded.
Treatment note, p. 468
A provider search gets you to the treatment thread; open the citation to check the note behind it.
One panel, start to finish

Where the unbilled hours actually go, and what changes.

Step 01

The file lands on your desk

Chiropractic notes, an emergency visit, imaging reports, PT, prior treatment from years before the injury, work-status forms, and earlier QME or treating reports. Out of order and duplicated across providers.

Today: sorting and reconciling before any real review begins. The assembly time isn't compensated at a rate that reflects the hours it takes.
Step 02

ChartInsight assembles it

Upload the PDFs, including records that have run past 70,000 pages. OCR handles scans, photocopies, and handwritten treatment notes. Repeat progress notes are deduplicated. Every extracted entry is anchored to its page before it appears.

Your staff can run this. Processing runs before you sit down with the chronology.
Step 03

You review and write

Read the full record with the chronology beside it, one click from a source page. Ask Research Assistant a question about the file and get the answer with its citation. Export editable DOCX or PDF with the page references intact.

Unchanged: the full-record review, the AMA Guides 5th Edition application, and the opinion.
Honest economics

Better panels, not more.

Chiropractic QME volume per doctor is lower than orthopedic volume, and no software changes that. A DC may take a handful of panels a month, often alongside a clinical practice.

What changes is what a panel costs you. On a 1,100-page file, the sorting, the hunt for the imaging entries, and the page citations are the hours that quietly eat the margin. ChartInsight does that part, so the panel you already accepted stops being a break-even project.

Flexible terms
Assignments fluctuate. The commitment should not assume volume you have not been given. Current terms are part of the demo.
Staff-ready workflow
Office staff can upload and run processing before the DC reviews the chronology. Designed to fit an existing office workflow without a custom build.
No page ceiling on a record
Records have run past 70,000 pages. A heavy spine file with a decade of prior treatment is not an exception the product refuses.
Guided onboarding
We walk through setup and getting the first record through. What’s included is covered in the demo.
Grounded, not generated

Nothing in the chronology was invented. Every line has a page behind it.

Nothing reaches the chronology until it is anchored to a page in the source record. There is no summarizing from memory of what a spine file usually looks like. Open the citation, read the page, and edit the entry if you disagree with the framing. The original PDF is never altered.

That matters more in a medical-legal report than anywhere else. A finding you cannot point to a page for is a finding that gets challenged.

Read the 433-record accuracy study
Internal indexing review
384
of 433 records reviewed (89%) contained at least one clinician-documented finding that was absent from the expert human summary.
3.04
clinician-documented misses per record on average.
9
clinician-documented items omitted from one 112,000-character human summary, roughly 56 pages of single-spaced text. The bottleneck isn’t human effort, it’s human bandwidth.
Method: each of the 433 records was reviewed by reading the full AI-generated index and the full human Medical Summary side by side. “Missing” means a clinically meaningful finding documented in the medical record that appears in the AI index but does not appear, by any name, synonym, or paraphrase, in the human summary. This is a semantic review, not a keyword search.
Questions DC evaluators ask

Straight answers.

If your question is not here, ask in the demo. We would rather over-explain than under-promise.

The record engine is specialty-agnostic: the same chronology and citation layer serves chiropractic panels, orthopedic matters, and other medical-legal records. It is not an orthopedic product with labels changed, but there is no chiropractic-specific template today.

Bring one panel file. Watch it get assembled.

The demo is a chiropractic record-review workflow, not a slide deck. See the treatment history, imaging findings, prior pathology, and work-status entries come back as dated, cited chronology entries, and decide whether that is worth an hour of your next panel.

What the demo covers
A spine chronology built from chiropractic, imaging, and PT records
Prior pathology separated from the current claim
Citation behavior, including editing an entry you disagree with
Research Assistant on a question you bring
DOCX export with the page references preserved
Security and compliance

PHI handled with the controls an evaluator has to be able to defend.

Trust Center
HIPAA-compliant
Program operated by Gemini Legal for medical-record workflows.
SOC 2 Type II
Active attestations are available on request.
AES-256 at rest and TLS 1.3 in transit
Records are encrypted at rest with AES-256 and in transit with TLS 1.3.
No model training on customer data
Records remain isolated to your account and are never used to train models.

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