RN-signed Every chronology reviewed and certified by a Registered Nurse — not a software output

The most defensible medical chronology a claims team can order.

Claims Medical Chronology Engine delivers a finished, page-cited, date-ordered medical chronology and summary — every record indexed, every clinical event sourced, pre-existing conditions and causation gaps flagged — reviewed and signed off by a Registered Nurse, behind a completeness-and-accuracy guarantee.

Every record OCR'd, classified, de-duplicatedClinical events extracted with source page citationsPre-existing condition & causation gap flagsRN review and sign-off on every deliverable5-business-day SLA
Why chronologies fail

A single missed record or mis-citation can cost a claim.

Every insurance claim or lawsuit that turns on injury or illness — bodily-injury auto, workers' compensation, long-term disability, life, med-mal defense, product liability, mass tort — rides on one artifact: an accurate, complete, date-ordered account of what the medical records actually say. Building that account by hand is slow, expensive, and error-prone. One insurance legal team reported spending 20+ hours per case on manual review before automating.

Most claims teams run this internally, from memory, under pressure. The records pile up — hundreds to thousands of pages, multiple providers, mixed EHR printouts, faxes, and handwritten notes. A missed pre-existing condition or an unsupported causation link costs real settlement dollars.

Claims Medical Chronology Engine exists to close that gap with a single, exhaustive standard applied identically to every file.

20+ hrs
manual review time per medical-heavy case before automation
The benchmark

Measured against the letter of the record — page by page.

We do not summarize the records and hope. Every chronology is scored against a versioned rule pack tied to the exact requirements of a defensible medical chronology. These are the provisions each deliverable is held to.

OCR & Normalization

Every page processed

All typed, faxed, handwritten, and EHR-export pages are OCR'd and normalized to a consistent format — no page left unread.

Classification & De-duplication

Documents sorted and deduped

Documents are classified by provider, facility, and type; near-identical pages are de-duplicated to avoid redundant entries.

Clinical Event Extraction

Events extracted with source page

Encounters, diagnoses, procedures, medications, imaging, and work-status notes are extracted and linked to the exact source page.

Date-Ordered Timeline

Chronological assembly

All clinical events are assembled into a date-ordered timeline, verified for consistency and gaps.

Narrative Summary

Decision-relevant patterns flagged

A narrative summary highlights pre-existing conditions, treatment gaps, causation inconsistencies, missing records, and duplicate billing signals.

RN Certification

Nurse review and sign-off

A Registered Nurse (legal nurse consultant) reviews the exceptions, verifies citations, resolves conflicts, and signs off — making the deliverable relied-upon and admissible-grade.

How a chronology is built

Intake to RN release, with deterministic gates the AI cannot overrule.

AI extracts and drafts. Deterministic rules — running as code, outside the model — decide what is complete. A human RN reviews and signs every release. That order is never reversed.

01

Record Intake & Gap Scan

Upload the medical records (any format). We return a free completeness read: which records are present, which are missing, and what is needed for a full chronology.

02

OCR, Classification & De-duplication

AI processes every page: OCR, provider/facility/type classification, and near-duplicate removal. A clean, organized record set is produced.

03

Clinical Event Extraction & Timeline Assembly

Clinical events are extracted with source page citations and assembled into a date-ordered timeline. First-draft narrative summary is generated.

04

Deterministic Completeness Gates

Every record is accounted for; every citation is verified; pre-existing conditions and causation gaps are flagged. Any failure blocks release.

05

RN Review & Certification

A Registered Nurse (legal nurse consultant) reviews the exception queue, resolves conflicts, and signs the certification. High-value or complex cases route to senior RN review.

06

Delivery

You receive the finished chronology: page-cited timeline, narrative summary, evidence log, and RN certification — ready for use in claims decisions or litigation.

The bar we hold

Rigor you can measure.

100%
RN-reviewed and signed
No chronology ships without a human nurse signature.
5 days
Standard SLA
From complete intake to released chronology.
<1%
Critical-defect target
Tracked against a gold-standard chronology library.
4
Record-processing stages
OCR, classification, extraction, timeline — every applicable file.
Why Claims Medical Chronology Engine

Built to be the most thorough option a claims team has.

Documentation-complete, by design

The deliverable is completeness itself — every record indexed, every clinical event sourced, every gap flagged or explicitly exception-coded. Nothing is left implicit.

Deterministic, not vibes

The gates that decide completeness are code, not a model's opinion. A drafting error cannot slip past a record requirement.

In its lane, on purpose

We prepare documentation and run searches as your clerical agent. We never provide medical diagnosis, legal advice, or coverage decisions — those stay with the licensed physician, attorney, or adjuster.

Engagement

Flat fee, per finished chronology. No hourly billing, ever.

Simple, predictable, and aligned with a documentation standard — not a cut of any recovery.

  • A free Record Gap Scan before you commit — see exactly what is missing.
  • One flat fee per finished chronology (per record set / per page tier); disclosed pass-through search fees if applicable.
  • Optional fixed-fee senior RN review for high-value or complex cases.
  • Optional Rush SLA for expedited delivery.
FAQ

Questions, answered precisely.

Is Claims Medical Chronology Engine a law firm or medical practice?
No. Claims Medical Chronology Engine, a service of Your Deputy, Obuke LLC, provides documentation-completeness services. It is not a law firm, does not provide legal advice, and does not practice medicine. The RN certification is a documentation-completeness attestation, not a medical diagnosis or legal opinion.
Do you make coverage or liability decisions?
Never. Claims Medical Chronology Engine organizes and certifies the factual record. Coverage decisions, liability determinations, and medical opinions remain with the licensed adjuster, attorney, or physician.
What makes a chronology 'complete'?
Completeness is defined by the record set: every page OCR'd and classified, every clinical event extracted with source citation, a date-ordered timeline, a narrative summary with flagged patterns, and RN sign-off. Deterministic gates enforce each one before release.
How fast is it?
The standard SLA is five business days from complete intake to an RN-released chronology. The free Gap Scan is returned much sooner and tells you exactly what is still needed.
How are you priced?
A flat fee per finished chronology, based on page tier. No hourly billing, no contingency, and no percentage of any claim recovery.

See what's missing before it costs you a claim.

Start with a free Record Gap Scan. Send your medical records and we'll return a completeness read against every stage of the chronology standard.

Documentation-completeness service · not medical or legal advice · the claims team makes all decisions.