Everything ChironAI OM does, in production.

This is the whole system, counted from the source. Causation, treatment and UR, impairment, DWC reporting, QME/AME, IMR, billing, closure — reasoned and drafted by a Round Table of specialist Digital Employees running on Eve-Healthcare™ F5/reasoner, decided where the law requires certainty by deterministic engines, and signed by the physician on every claim. Thirteen groups, one system — the full inventory is below, and published in full for machines so you can ask Eve about any of it.

The reasoning is visible, verified, and never trusted blind.

• —The Round Table — five specialist Digital Employees (Chiron, Issac, Justine, Eli, Theo) convened conditionally per case, in parallel, with graceful degradation
• —Eve-Healthcare™ F5/reasoner — a compound five-component reasoning architecture, not a single model behind a prompt
• —Chain-of-Verification — every specialist self-critiques (did I invent anything? what would opposing counsel argue?) before a physician sees the output
• —Honest reasoning stream — a live, step-by-step trace of the real work, engineered to never fake a progress bar; the chain-of-thought never leaks to the transcript
• —Ask the Case — grounded Q&A over the record and guideline corpus, inline citations, a hard guardrail that deletes any citation the reasoning did not retrieve
• —Defend This — the system argues against its own determination as the defense QME, UR reviewer and carrier, then assembles a submit-ready defense packet
• —Record digest — reads 1,000–3,000-page files whole (split-not-slice), segregates §4062.3 admissibility, then adversarially refutes every chronology entry
• —Fail-toward-unverifiable verification — the schema cannot express "confirmed" on a failed check; unsupported claims are flagged, never deleted
• —§4628 report drafting — 12 statutory sections, per-section specialist routing, page-anchored citations built from real anchors and verified back against source
• —Apportionment legal-sufficiency engine — encodes Escobedo, Brodie/Strait §4664(b), Hikida, Almaraz-Guzmán against a registry that rejects invented authorities
• —Glass-box tool-calling — one visible activity step per real operation (retrieval, compute, compose, persist), never a fabricated timer, never a model name
• —Grounded RAG with citation verification, ICD-10 hallucination guard, and apportionment-citation validation
• —One outbound compliance choke point — foundation-model-name suppression, AB-489 licensure-rewrite, PHI-minimization, reasoning-scaffolding scrub
• —Shipped prompt-injection scorer — PHI-never-echoed, quarantine-vs-served discrimination, run live in-VNet weekly
• —Human-in-the-loop by architecture — physician review/override on every determination; deterministic engines own every number the law requires exact

A real occupational-medicine chart, not a claims wrapper.

• —Patient chart — demographics, problem list, medications, allergies, vitals (with BMI), each with add/edit/resolve lifecycles
• —Encounters & visits — typed encounter intake, visit context, completion evaluation
• —Medical records — blob-backed upload, AI extraction (diagnoses, findings, work-status, treatment history), amendment under 45 CFR 164.526
• —Imaging analysis — AI medical-image analysis with modality-appropriate framing, radiologist-attested
• —Treatment plans — plan + line-item authoring, revision, completion, per-item authorization requests
• —Physician determinations — versioned, attestable, amendable
• —Predesignation of personal physician — single-valid enforcement
• —Medical Provider Network — §4616 verification, weekly refresh from the California DWC open-data feed
• —Voice — dictation transcription and a realtime voice mode over the case

One system runs the whole file, intake to close.

• —Eligibility & §3600 classification — industrial / denied / delayed / first-aid / non-industrial, versioned as the record develops
• —Case intelligence dashboard — aggregated case detail, med-legal designation, determination summaries
• —Case management — timeline, clinical-phase rail with adjacent-only transitions, MMI readiness, drift board
• —Case Drift — flags cases lagging their predicted recovery trajectory before the file goes stale
• —Signals — acknowledge / resolve / dismiss lifecycle with required-note discipline
• —Morning Rounds — an overnight-worked worklist: what the system read, flagged and drafted while the practice was closed
• —Records that react — a new document re-reads the case and refreshes the affected determinations
• —Work queue — merged obligations and RFA work, board and list views, next-best-action
• —Non-industrial redirection — care redirection with letter generation and referrals
• —What-If scenario modeling — deterministic dollar-impact on the case’s own findings and the Labor Code constants that govern the number
• —Case closure — settlement (C&R vs Stipulated Award), future-medical/MSA pathways, transition of care, guardrails that can only be overridden not "cleared"
• —Closure & §5410 reopening — five-year reopen window computed and tracked so a case never closes blind to its reopen date
• —Appointments — recurring series, status lifecycle, check-in, no-show detection
• —Plateau assessment — the physician asks Chiron to weigh a plateau signal against the record; the clinician asks, and the clinician decides
• —MPN membership and employer-to-MPN mappings kept current, so an eligibility answer is not quietly based on a stale mapping

The causation math is code, not a guess.

• —AOE/COE causation analysis under Labor Code §3600, drafted from the full record and versioned first-draft to final
• —§4663 apportionment — multi-factor analysis with normalization and fail-safe defaults
• —§4664 prior-award offset — a deterministic engine on the Brodie/Strait three-prong test: exact, reproducible, versioned
• —Impairment engine — Whole Person Impairment under AMA Guides 5th, DRE/ROM selection, Combined Values math, into a 2005 PDRS calculation
• —Case-law grounding on every narrative — Escobedo, Brodie, Strait, Hikida, Almaraz/Guzmán
• —Defensible narratives — every statement traces to the field in the record that produced it; reconstructable years later for deposition

It scores the denial before the payer does — and builds the appeal.

• —MTUS / ACOEM alignment — plans checked against two dozen authentic California DWC guideline documents at the point of care, with citations
• —UR Survival Score — denial and IMR-appeal risk scored before the RFA goes out, with the evidence to attach named
• —RFA lifecycle tracking end-to-end; §4610(g)(2) auto-authorization detection; denial-risk drivers surfaced inline
• —Dubon / Bodam denial classification gating IMR eligibility vs a straight appeal
• —IMR packet assembly under §4610.5, timed against the 30-plus-5-day mail clock, with exhibit auto-proposal
• —UR decisions capture and classification; treatment authorization insights (suggest-MTUS, UR-insights) with glass-box reasoning
• —IMR determination captured from the letter itself — upload the PDF rather than retyping the outcome, so the record holds the document the decision came in

The panel process runs like a state machine, not a spreadsheet.

• —§4628 QME report — twelve required sections drafted, section-locked until prior sections are physician-approved, checked against a compliance checklist
• —§4062.1 / §4062.2 panel process — QME and AME panels as a state machine, strike tracking, the Vázquez good-cause exhibit generator (byte-stable)
• —PTP/QME reconciliation — treating-physician determination reconciled line-by-line against QME/AME findings, disagreement surfaced not overwritten
• —QME intake questionnaire — worker pre-evaluation intake feeding report prefill; §4664 prior-claim flagging as unconfirmed candidates
• —§4628 admissibility — §49 time itemization with specialty face-to-face minimums, service-performer disclosure, records-reviewed exhibit with §9795(c) page reconciliation
• —Information exchange (§4062.3 / §35) — package service, 20-day clocks, objection and WCALJ-order handling, ex-parte classification (Suon en banc)
• —Report service (8 CCR §36) — recipient matrix by case shape, §38 30-day clock, declaration of service, serve-by-fax
• —DEU rating (§4061) — 20-day rating and 30-day reconsideration clocks; factual corrections (DWC Form 37, §4061.5)
• —Sub-rosa (ML205) and testimony (ML204) — §35 information-gate, quarter-hour billing, §35.5(f) deposition-notice deadlines
• —AME agreements; secondary-provider report integration with 20-day clocks; case-party (adverse-party) register
• —On-demand DWC / DEU / CMS form rendering — 21 forms scoped to case, panel, evaluation and billing
• —Evaluations move between stages with a recorded reason for rework, so a report sent back is a fact on the file rather than a conversation nobody logged
• —Supplemental reports and their 60-day clock tracked from the request that triggered them
• —Disputed issues recorded per evaluation — the section §4628(e) makes inadmissible if it is left unanswered

Every DWC clock, tracked to the business day.

• —Form 5021 — Doctor’s First Report, drafted against the 5-business-day deadline
• —PR-2 progress reports — auto-drafted on the 45-day cadence or on a material change; the physician edits every section
• —P&S / MMI under §4061 — triggered by the clinical milestone, deadline-tracked, physician-attested
• —Deadline engine — every statutory clock encoded and holiday-aware against the California calendar; a daily 07:00 sweep surfaces every approaching and overdue report
• —Reporting-obligation service matrix; secondary-report obligations; transmission-gap alerts
• —AB 3030 attestation on every AI-drafted report — non-dismissible, persists through the signed PDF
• —Proof of service recorded on a regulatory report — who it went to, how, and when, which is the part a dispute turns on
• —Form 109 filed when an objected disclosure is replaced, linking the replacement to what it supersedes

Coded to the fee schedule. Chased to the penalty.

• —OMFS coding on every billable encounter; E/M coding leveled on the CMS 2021 Medical Decision-Making rules
• —Medical-Legal Fee Schedule (8 CCR §9795) — the full ML-200…ML-205 catalog, first-200-page thresholds, $3/page MLPRR excess, §9795(c) perjury page-count verification
• —ML204 testimony billing ($113.75/¼hr, 2-hour minimum, lesser-of usual fee) and ML205 sub-rosa review ($81.25/¼hr)
• —§4603.2 penalty & interest — the 45-business-day pay rule tracked; penalty and interest computed the moment a payer misses it
• —Explanation-of-Review ingestion and structured extraction; the §4622 90-day clock anchored to the EOR date
• —Second Bill Review → Independent Bill Review appeal ladder; CMS-1500 and medical-legal bundle generation
• —Clearinghouse claim submission (X12 EDI); payment events and tracking; immutable billing audit trail; carrier performance analytics
• —Billing identity chosen per claim, so a group practice bills under the right entity without re-keying it
• —Interpreter cancellation billed on the notice actually recorded — an explicitly entered zero-notice cancellation still bills the two-hour minimum; a missing notice period does not
• —A missing fee schedule reports the underpayment as UNDETERMINABLE rather than as a finding, and generates no zero-value dispute letter

Purpose-built clinical and med-legal visualizations — that refuse to lie.

• —§4663 apportionment waterfall — whole-disability reference down to the industrial remainder, refusing to draw an unweighed factor
• —§4062.3 record-chronology timeline — admissible records on a time axis, contested and undated entries handled honestly
• —Work-status restriction bands (DWC-AD 10133.36) on a duration axis
• —QME panel deadline horizon — a diverging statutory-clock axis centred on today, overdue in alarm ink
• —Every chart carries a mandatory text-equivalent and declines to draw on a failed read rather than assert a false picture
• —Glass-box streaming reasoning surface reused across closure, QME drafting, apportionment and PTP-QME
• —Unsaved clinical work is protected — closing a tab mid-note warns first, and a failed action offers a real retry rather than “refresh the page”

It works the caseload while the practice is closed.

• —16 per-tenant monitors — closure windows, intake retention, case drift, RFA/UR §4610 clocks, reporting-obligation deadlines, IMR filing clocks, QME/AME panel windows, billing deadlines, breach detection (every 5 min), appointment no-show, and more
• —6 durable queues — document extraction, intake identity extraction, whole-file record digest for QME-scale cases, PTP-QME comparison, QME finding extraction, QME record organization
• —A durable job-run substrate with a replayable glass-box trace you can re-attach to across navigation
• —A weekly in-VNet prompt-injection evaluation that runs the live guardrails against an attack corpus

Every signature is provable. Every tenant is isolated.

• —Public cryptographic verification — four no-login, zero-PHI, rate-limited endpoints (IMR, QME, PTP-QME, closure); a SHA-256 hash binds the attestation to the exact rendered PDF
• —Fail-closed tenant isolation — Postgres row-level security under a non-superuser role across ~145 tables, plus tenant-scoped blob storage, plus defense-in-depth explicit filters
• —A four-level per-case access kernel (read-only / consulting / treating / owner) with a billing-only side-channel that can never read clinical data
• —Immutable PHI access log written by decorator, not developer discipline — tamper-evident by construction
• —Breach detection mapped to HIPAA notification triggers — failed-auth bursts, cross-tenant attempts, mass-export patterns
• —AI-use disclosure per CA AB-3030 / AB-489; tenant-wide MFA with break-glass; PHI-safe logging and telemetry throughout

Run the practice, not just the claim.

• —Clinic provisioning, user and role administration, session management, MFA reset
• —Analytics — practice and med-legal dashboards, physician-agreement tracking as an operational trust metric
• —Notifications — in-app and email with per-user preferences and deterministic de-duplication
• —Document intake triage, misfile register, records-request tokenized upload links for outside parties
• —In-app help — a 98-article library with acronym-aware search, shared verbatim with Chiron’s own help tool, plus guided tours
• —Tenant data rights — DSAR export with a verifying manifest and certified destruction (BAA §6.3 / §8.2); compliance/BAA/breach registers; in-product support queue
• —Multi-clinic groups — practices running more than one clinic are administered as a group, access granted explicitly per clinic and denied by default, re-checked on every request rather than once at sign-in
• —Any register exported to CSV or XLSX, generated on the server and streamed, so a large register does not depend on what the browser can hold
• —Bulk ZIP import into incoming documents, so a batch from a provider is one upload rather than fifty
• —Error reports — what has actually broken for the practice, grouped by occurrence with no patient information recorded, and triaged rather than deleted

Answer a records demand, and be able to prove what you sent.

• —Document library — the chart’s records organised at patient and case level, grouped by document type with per-group counts, and a preview offered only for formats a browser can actually render
• —Records production — assemble a disclosure packet against a specific request, with the requesting party and the request recorded on the production itself
• —Bates numbering — a per-production prefix seeded from the patient surname, with every produced page numbered and the range recorded per document
• —Honest manifest — the packet declares superseded, duplicate and re-numbered pages rather than presenting a clean-looking set that hides them
• —Withheld log — what was deliberately not disclosed is recorded as withheld with its reason, and stays distinguishable from what was never considered
• —Void a production — a production can be voided and its artifact allowed to expire without destroying the record that the disclosure happened
• —Produced index — every document in the chart shows whether it has already gone out, under which request, and in which Bates range; a document produced only under a since-voided production says so
• —Truncation is stated — a records list that hit its page ceiling says so rather than presenting a partial chart as the whole one
• —Records requested FROM a claims administrator or attorney, and the tokenized upload link an outside party returns them through