When the medical record is the case, the review must anticipate how the other side will read it — and where the clinical argument will hold, or fail.
Every conclusion ties to a record citation — not narrative opinion.
Reviewed against InterQual® & MCG® — the standards carriers use.
Flat per-service pricing — never hourly, never a running meter.
No PHI by email; BAA and engagement terms before records move.
Medisprudence was built on direct payer-side utilization management experience — applying InterQual and MCG criteria to real claims across a major US commercial payer and understanding exactly how medical reviews are constructed. That operational knowledge applies identically whether helping a plaintiff attorney deconstruct a defense IME or helping a defense team ensure their own IME will survive cross-examination. Medisprudence follows the analysis, not a side — and the fact that both sides are willing to pay for it is the strongest signal of its objectivity.
When the injury isn't the fight but the dollar value of the bills is — necessity, relatedness, coding, and reasonable value in one physician-authored work product, not split between a coder and a doctor.
Necessity, relatedness, coding, and reasonableness, documented.
From $450A documented reasonable-value range, before reserve and mediation.
From $450 · Net 15Every billed service tested on four dimensions — necessity, relatedness, coding integrity, and charge reasonableness — with a documented reasonable-value range. Real reviews cover the full charge package. This is the ledger summary.
Answer a short, no-PHI checklist to route the matter toward IME analysis, case viability, payer-criteria review, causation support, defense-side exposure, or compliance review.
Each matter is scoped first using general, no-PHI facts. Records are requested only after fit, fee, turnaround, and conflict status are confirmed.
CVA™ + IME Deconstruction + Defense Medical Lens™ for matters where record support, IME defects, and mediation posture all need physician review.
Physician deconstruction of the IME with omissions, contradictions, unsupported conclusions, and targeted rebuttal questions.
IME quality review, plaintiff expert analysis, reserve assessment, or UR process audit under institutional invoice terms.
A physician reviewer's reference on how medical records, IME reports, medical-necessity criteria, and expert opinions behave as evidence.
Read the Field Guide →Contested IMEs and causation in spine, TBI, and soft-tissue cases.
Standard-of-care documentation analysis and pre-expert intelligence.
Payer-reviewer background is directly material when a patient sues the insurer.
Causation and treatment-necessity for claimant, defense, TPA, and carrier.
Bellwether viability screening and defense medical coordination.
Disability analysis for claimant, carrier defense, and external review.
Physician-authored NQTL comparative analysis for ERISA attorneys.
Physician-authored denial pattern audit for fiduciary defense.
Start with a no-PHI inquiry. No records required to get a scope and pricing confirmation.
Case type, injury, IME status, approximate record volume, deadline, and the decision you need. No PHI by email.
Fit, deliverable type, fee, turnaround, and conflict status. BAA and engagement terms handled before records are sent.
Source-referenced, component-disclosed, structured for the specific case decision.