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Supporting Service — Included in CMIP · Available Standalone Both Sides

Pre-existing Condition Dossier

Complete documentation of what the defense will argue about prior pathology — built by someone who has applied that same argument from the payer side across 3,000+ claim reviews.

Included in CMIP · Available standalone
Founder’s Advantage

Payer reviewers and defense IME physicians apply the same playbook when pre-existing conditions appear in a record: attribute as much as possible to baseline degeneration, prior injury, or constitutional predisposition. Our founding physician has applied those same criteria first-hand — across thousands of cases where pre-existing spondylosis, prior lumbar surgery, or degenerative joint disease was the central dispute. The dossier documents exactly what that argument looks like when applied to your client’s record, and what documentation exists or can be obtained to reduce its weight.

What the dossier documents

  • 01
    Complete Prior History Inventory

    Every prior condition, injury, treatment, and surgery in the record — organized chronologically with clinical significance noted.

  • 02
    Defense Attribution Analysis

    For each prior condition: what the defense is likely to argue, how strong that argument is, and what documentation supports or undermines it.

  • 03
    Aggravation vs. New Injury Assessment

    Whether the documented clinical picture is consistent with aggravation, a new injury on a predisposed structure, or a new injury entirely.

  • 04
    Documentation Impact Score

    How much weight the pre-existing conditions are likely to carry in a defense medical review — rated by pressure intensity.

When this matters most

Cases involving spine surgery where the client has pre-existing degenerative disc disease — the most contested medical issue in high-value PI litigation.

Cases where imaging shows degeneration that predates the accident — the defense will argue the accident did not cause the pathology the treatment addressed.

Older clients with constitutional degeneration — documentation must distinguish accident-related pathology from age-related baseline.

Cases with prior injuries at the same anatomical level — requires precise documentation differentiation.

Defense & carrier apportionment: Physician-authored documentation of what pre-existing conditions contribute to the claimed damages, calibrated for reserve-setting and apportionment arguments. Invoiced on Net 15 terms.

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Specimen Deliverable — Component 04 of CMIP

See a Pre-existing Condition Dossier in a full report

Demonstrated as Component 04 in the Full Intelligence Report specimen. Prior pathology analysis with defense weighting assessment.

View in CMIP Specimen → All Samples

Know the pre-existing argument before the defense makes it.

Built from first-hand application of payer attribution methodology.

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