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OM edition

The OS for occupational medicine. Built around five jobs in every visit.

ChironAI™ OM is the Agentic Healthcare Operating System for occupational medicine and workers' compensation practice. Built first for California — the most regulated WC market in the country. National frameworks follow.

The five roles

A workers' comp physician carries five jobs in every visit: clinician, forensic investigator, regulatory clerk, billing manager, expert witness. ChironAI OM is built for all five.

  1. 01
    Clinician

    Diagnose. Treat. Apply guideline-aware care.

  2. 02
    Forensic Investigator

    Determine work-relatedness. Apportion industrial and non-industrial cause.

  3. 03
    Regulatory Clerk

    Author DWC reports. Track deadlines. Survive audit.

  4. 04
    Billing Manager

    Code to the fee schedule. Track the pay rule. Compute penalties and interest.

  5. 05
    Expert Witness

    Build a defensible record. Sit for deposition with the evidence trail intact.

The PR-2 writes itself, with your edit. The deadline tracks itself, with your view. The causation reasons itself, with your final say. You stay the doctor.

Currently shipping

What ChironAI OM does today.

Eligibility and routing engine

WC, MPN, and care-pathway rule families with versioned determinations and override workflow. §4600 predesignation check. §4616 MPN verification with weekly sync from public data. Claim-type determination: industrial, denied, delayed, first-aid, non-industrial.

Compliance engine

DWC Form 5021 (5-day rule). PR-2 progress reports (45-day cadence or material change). PS/MMI under §4061. Trigger logic, form mappers, physician edit on every section, AB 3030 attestation, business-day deadline computation with the California holiday calendar, daily 07:00 approaching/overdue cron.

Causation with physician review

AOE/COE narratives under §3600. Multi-Digital-Employee coordination when the case demands it. Versioned causation analyses with a must-review-before-final gate at the data layer. Confidence surfacing that triggers additional specialist consultation when reasoning quality falls below threshold.

Exam, plan, and alignment

Smart exam templates by body region. Structured visit context with carry-forward and prior-value diff hints. MTUS / ACOEM alignment check at point of care. Structured work restrictions.

Geographic scope

Built first for California.

California's workers' compensation regulation is the most demanding in the United States — DWC Form 5021 with 5-day deadlines, MTUS treatment guidelines, MPN provider networks, the §4603.2 45-day payment rule, the §§4663/4664 apportionment framework, and the California-specific AI-in-healthcare statutes (AB 3030, SB 1120, AB 489).

Shipping there first means the architecture is hardened against the hardest case. National workers' compensation frameworks follow — same OS, same Digital Employee, calibrated to the regulatory chain of each state.

Architecture

Powered by Eve-Healthcare™ F5/reasoner.

The same compound reasoning architecture that powers ChironAI CDS. A compositional fabric — proprietary classifier, fine-tuned small reasoning model trained on synthetic data, and frontier models composed dynamically per workload.

The synthetic clinical reasoning dataset behind Eve-Healthcare™ also encodes the regulatory reasoning that drives ChironAI OM — DWC reporting logic, MTUS / ACOEM alignment, AOE/COE causation patterns, the deadline arithmetic.

Read the architecture

Talk to our team.

For California workers' compensation physicians, occupational-medicine clinics, QME and AME evaluators, and the practice administrators who run them.

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