Bundled below à la carte rates and structured so that the entire engagement advances as a single case cost — no per-service decisions, no multiple approvals, no separate invoices at each stage.
For LNC firms with recurring physician-review referral volume, a monthly capacity retainer eliminates the per-case procurement decision entirely. One monthly invoice, a fixed number of physician-authored deliverables per month, wholesale pricing throughout.
For attorney clients who have received a defense IME and need physician-level deconstruction with deposition questions.
Pre-expert screening where the attorney needs physician judgment on case viability before case cost commitment.
Pre-mediation defense simulation — ranked pressure points, causation exposure, documentation action list.
Seven-component complete case intelligence — available under retainer for high-value matters.
Compliance consulting engagements are bespoke — priced by plan complexity and denial sample volume, not fixed tiers. Both services are invoiced directly with no case-cost language; they are compliance advisory engagements, not litigation case costs.
Physician-authored comparative analysis of a health plan's behavioral health UM criteria against its medical/surgical criteria across all six NQTL categories — structured for ERISA litigation, DOL audit response, or pre-enforcement plan correction.
Physician-authored review of a 20–50 claim sample assessing whether medical necessity criteria were applied in a defensible and consistent manner — framed for ERISA fiduciary defense or pre-litigation DOL audit response.
Defense and institutional buyers receive the same base rates as plaintiff services — with institutional payment framing: Net 15 or Net 30 invoice terms, retainer availability, volume arrangements for TPAs and carriers, and no case-cost language.
Pre-submission IME defect review + ranked pre-mediation defense simulation.
Invoiced · Net 15
Physician-authored exposure range + ranked vulnerability map. For TPAs, carriers, and self-insured employers.
Invoiced · Net 15 · Retainer available
Denial defensibility assessment + plaintiff exposure map. For carrier and defense counsel facing bad faith claims.
Invoiced · Net 15 · Confidentiality available
| Service | Starting fee | Turnaround | Best for |
|---|---|---|---|
| IME Quality Review | From $400 | 3–5 days | Pre-submission IME physician review |
| Plaintiff Expert Report Analysis | From $500 | 3–5 days | Deconstruction of plaintiff expert disclosure |
| Medical Reserve Analysis | From $750 | 5–7 days | TPAs, carriers, self-insured employers |
| UR Process Audit | From $600 | 5–7 days | Bad faith defense — denial defensibility |
| Bellwether Defense Screening | Custom | Custom | MDL defense coordination |
| Defense Medical Lens™ | From $400 add-on | 48 hrs | Medical record vulnerability assessment |
| Case Strength Assessment | From $350 | 72 hrs | Plaintiff case exposure evaluation |
Volume arrangements: For TPAs, carriers, and defense firms with recurring case volume, monthly capacity retainers are available with wholesale pricing. Contact for details.
| Engagement type | What’s included | Starting fee | À la carte equivalent | Best for |
|---|---|---|---|---|
| Full Case Workup | CVA + IME Deconstruction + Defense Medical Lens™ | From $1,100 | $1,250 | Cases with a received IME approaching mediation |
| IME Response Package | IME Deconstruction + Defense Medical Lens™ | From $800 | $900 | IME received; need deconstruction + defense simulation |
| IME Deconstruction (standalone) | 10 sections, 20+ deposition questions | From $500 | — | IME received; deposition prep focus |
| Case Viability Screening (standalone) | Physician viability memo, 72 hrs | From $350 | — | Pre-expert case evaluation |
| Defense Medical Lens™ (standalone) | 6 components, ranked pressure points | From $950 | — | Pre-mediation, no prior IME |
| Full Intelligence Report / CMIP™ | 7 components, complete workup | From $1,500 | — | High-value matters needing full pre-expert intelligence |
| LNC Monthly Retainer | Physician deliverables under your brand | Contact for pricing | — | LNC firms with recurring referral volume |