Before mediation, the defense will have a medical theory of the case. This shows you what it is — built by a physician who has performed that exact review function across 3,000+ payer-side US claims. Defense firms, TPAs, and carriers use the same analysis from the other direction: physician-grounded medical exposure to set accurate reserves and support defensible settlement authority before the mediation date.
Likely defense medical arguments ordered High, Moderate, Low-Moderate, Low. You know exactly which vulnerabilities the defense will lead with.
Where the causal connection is strong in the record, and where it is most exposed to challenge.
Payer-style medical necessity evaluation of each major treatment category — exactly how a defense reviewer would evaluate each procedure.
The weight the defense medical position is likely to place on prior disease — and what documentation could reduce it.
Whether the record supports the disability picture across providers — where documentation is consistent and where it creates exploitable gaps.
Physician-authored list of documentation that may reduce the strength of likely defense medical arguments before mediation.
Cases approaching mediation, settlement conference, or demand preparation — ideally 30 days before the mediation date.
High-bill soft-tissue and surgical recommendation cases where the defense will challenge treatment necessity aggressively.
Cases with significant pre-existing condition exposure where the defense is expected to attribute pathology to baseline degeneration.
Defense firms, TPAs, and carriers setting pre-mediation reserves or confirming settlement authority — physician-authored medical exposure analysis creates a documented, defensible basis for reserve decisions that a claims adjuster cannot produce from medical records alone.
Advanceable as a case cost and recoverable at settlement in contingency-fee matters. Bundle with IME Deconstruction from $800 →
Defense & institutional buyers: Invoiced at scope confirmation. Net 15 terms. Retainer arrangements available.
Ranked pressure points, causation exposure, documentation action list. Pre-mediation specimen. Fictional data.
Built from first-hand application of payer-review methodology.