Cited chronology
Every event in the timeline links to its exact {document, page}. An uncited claim is surfaced as a defect, never buried in prose.
Glass Box Solutions · Medical-legal evaluation platform
AdjudiMED is the physician-side platform for California workers' compensation medical-legal evaluations (AME, QME, IME). Every AI-proposed assertion is traced to a source page, and nothing is published or signed without an explicit human action.
From black box to glass box: the citation trail is the product, not a footnote.
The evaluation, as it stands today
A QME physician receives 800 to 5,000 pages of mixed-quality scans, has to reconcile a contradictory chronology, answer the eleven medical-legal questions, apply the AMA Guides, and sign a report she can defend line by line in deposition. The statutory window is 30 days. The tooling, most often, is a PDF viewer and a legal pad.
The Glass Box
The platform proposes; the physician attests. Each capability is designed around a single rule: an AI assertion the doctor sees, but cannot trace to its source, is treated as a defect, not a feature.
Every event in the timeline links to its exact {document, page}. An uncited claim is surfaced as a defect, never buried in prose.
Answer each of the eleven questions beside the supporting record, in a split-pane tuned for hours of deliberate reading. No accept-all, no swipe-to-approve.
AMA whole-person impairment and apportionment are computed on the server, byte-stable, and presented for confirmation. The interface never does the math.
The default landing is the deadline view, not a generic home page. Red, amber, and green across every case, with reminders before the clock bites.
A statutorily-formatted report, signed behind MFA, exported to EAMS. Immutable once signed, with addenda tracked separately and clearly.
Every action is recorded and independently reconcilable. Read-only auditors can verify the chain without changing a single record.
How it works
Five stages, each one leaving a trail the physician can stand behind.
Office staff opens the case, captures the parties, and uploads the record-service PDFs. Conflict-of-interest is checked at intake, before any work begins.
Records are read, de-duplicated, and classified. Low-confidence documents are routed to a person for review, never silently accepted into the record.
The platform proposes a chronology in which every entry carries the citation to the page it came from, ready for the physician to read against the source.
The physician answers the eleven medical-legal questions beside the evidence and enters her impairment findings, with the supporting page always one click away.
The AMA rating arrives already computed. The physician confirms it, signs behind MFA, and exports to EAMS, with days still left on the clock.
Security and posture
Protected health information is governed in the database and on the wire, not just in application logic.
Row-level security enforces practice isolation at the data layer, fail-closed, so a query cannot cross a practice boundary even if application code is wrong.
No AI output is published, signed, or exported without an explicit, authenticated human action. Every gate is visible and labeled.
Nothing protected is written to browser storage, client logs, URLs, or analytics. The record stays where it belongs.
Data is encrypted in transit and at rest, with an encrypting payload codec on the processing path so PHI is not exposed in workflow history.
A hash-chained record of every action that can be independently verified, so tampering or reordering is detectable, not assumed away.
The platform is built to a documented SOC 2 control matrix and a HIPAA-aligned posture, with least-privilege roles and default-deny access throughout.
Who it serves
The physician's surfaces optimize for slow, defensible review. The staff and admin surfaces optimize for throughput and oversight.
Reviews the cited chronology, answers each question against the evidence, confirms the rating, and signs the report.
Opens cases, captures parties, uploads record-service PDFs, schedules the exam, and triages ingestion review.
Everything staff can do, plus member management, conflict sign-off, and practice-wide deadline oversight.
Views cases, chronology, reports, and the audit trail. Verifies the record without the ability to change it.
We work with QME, AME, and IME physicians and their staff to shorten the path from record to signed report, without giving up a single citation. Tell us about your caseload and we will walk you through it.