Arcuity MEDICAL-LEGAL INTELLIGENCE
Workers' compensation · Personal injury · Claims defense

Documents in.Work product out.

Most document platforms finish when the mail is filed to the right matter. That is where the actual work starts. Arcuity handles the mailroom and produces what your firm sends out — subpoenas, evaluator packages, chronologies, inconsistency statements, demands — every line of it traceable to a stamped page.

200,000+
Med-legal reports produced — QME, IMR, IME, File and Serve, New PTP and related
15
Finished work products, from record retrieval through settlement
100%
Of findings delivered — nothing ranked away, nothing truncated
PQME_Report_Ortho.pdf GROUNDED
Causation Apportionment Negated Flag

Panel Qualified Medical Evaluation

Illustrative record — not a real claimantPQME · Orthopedic Surgery
History of Injury

The applicant is a warehouse associate who reports a specific injury while lifting a 60-pound carton from a floor-level pallet. She felt an immediate onset of low back pain radiating into the left buttock, temporally consistent with the described mechanism of injury.BH1 She continued the shift and reported the injury the following morning.

Diagnostic Studies

MRI of the lumbar spine demonstrates a 4 mm broad-based disc protrusion at L5–S1 with mild bilateral neural foraminal narrowing. There is no evidence of nerve root impingement or frank radiculopathy on the current study.NEG Multilevel facet arthropathy and disc desiccation are noted.

Causation & Apportionment

In my opinion, 60% of the applicant's current lumbar disability is attributable to the industrial injury, and the remaining 40% is apportioned to pre-existing, non-industrial degenerative disc disease.§4663

The basis for this apportionment percentage is the patient's age and the radiographic degenerative findings.!R

Hover any highlighted passage to see what was found, why, and exactly which page it came from.
The problem

The file arrived. Nobody has read it.

Clean intake solves the first hour of a claim file and none of the rest. The mail is filed the same day, and the chronology still costs an associate a weekend. The prior-injury history still goes unbuilt. The brief on everything unrelated to the injury still does not get written, because it never does. The records still leave for the evaluator without anyone confirming that every discrete finding is in the package.

That is not a filing problem. It is the work — and it is the part that decides what the case is worth.

What comes out

Fifteen finished work products

Grouped by where each one falls in the life of a claim. The first band is the part most platforms sell as their whole product. We treat it as the starting line.

01Receiving and organizing the filetable stakes

Ingest, split, classify, match, name, file, route, notify

Everything arriving by mail, email, fax, portal or scanner. Consolidated files split into their constituent documents, each typed, matched to its matter, named to your convention, filed to the right folder and put in front of the right person.

Necessary, and a commodity. We do it because everything below depends on a clean, complete, addressable file.

02Getting the record in2 products

Record retrieval subpoenas

Identify every custodian the record implicates, and generate the subpoena to get their file.

The records nobody remembered to request are the ones that decide apportionment.

File and serve

Prepare and execute filing and service of the resulting documents.

Closes the loop between deciding to request something and it actually being served.

03Preparing the record for an evaluator3 products

Records and interrogatories for the QME

Assemble the evaluator's records package and the interrogatories that accompany it.

The evaluator answers the questions you send. A weak question set is a weak report you then live with.

Completeness check before IMR, QME, AME or PQME

Evaluate what is about to leave the firm for a complete history of every discrete finding — before it reaches the evaluator.

A pre-flight almost nobody runs. A package missing a discrete finding produces an evaluation you cannot use, and you find out months later.

Focus the entire file on the concepts at issue

Reduce medical records, legal filings and government forms to what bears on one or more specific medical-legal concepts tied to the injury.

Turns a 4,000-page file into the file for this question — without discarding the rest.

04Analyzing the record6 products

Every causation issue, located

Surface all issues bearing on causation, rather than the ones a reviewer happened to notice.

Causation is where the case is won, and it is buried across hundreds of pages by definition.

Physics of the injury vs. the claimed mechanism

Evaluate the mechanism of injury on its own terms and test it against the account in the medical record.

A claimed mechanism the physics does not support is a defense case.

Chronology of all injuries

Every injury in the record on one timeline, prepared for attorney review for subrogation or apportionment.

Both turn on what happened before, and both fail on an incomplete chronology.

AMA Guides drift detection

Evaluate medical reports for where the rating or methodology strays from the Guides.

A rebuttal generator. Drift is the most reliable basis for challenging an impairment rating, and finding it costs an expert and a weekend.

Lifelong medical screening

Full-history screen across the record, including prescription drug history — not just the claim window.

Pre-existing condition evidence is exactly what apportionment requires, and the claim file never volunteers it.

Munger brief — everything not related

An indexed brief of all documents unrelated to the claimed injury, with verbatim summarization and a table of contents.

Proving what the record does not contain is how you close off an alternate theory — and it is the most tedious job in the practice, which is why it gets skipped.

05Advocacy2 products

Deposition question outline

A draft outline built from what the record actually contains.

Preparation compressed from days to a review pass.

Inconsistency statement

Deposition testimony compared against the entire timeline, producing a statement of every inconsistency — hyperlinked and supported with verbatim page quotes.

Testimony that contradicts the record is the highest-value thing in any file. Here it arrives already cited to the page.

06Resolution2 products

Draft settlement letter

Demand or response, drafted from the analyzed record.

The valuation argument arrives assembled and cited, not reconstructed from memory.

Request for settlement conference

Prepared and ready to file.

Procedural work that consumes attorney time and generates no fee.

How we compare

Where document platforms stop

Document-AI platforms built for legal intake are good at what they do, and most firms should have one. The differences below are not about accuracy at filing. They are about whether anything produced from the file can be defended after it leaves the building.

 Typical document-AI platformArcuity
Scope Inbound handling — capture, classify, match, file, route Inbound handling plus the outbound work product
What you receive A correctly named document in the correct folder A subpoena, an evaluator package, a chronology, an inconsistency statement, a demand
How answers are reached Classifiers that retrain on user corrections, so behaviour shifts over time Deterministic algorithms decide. Language models only phrase what was already decided and checked
Reproducibility Re-running last year's document may not reproduce last year's answer Same file in, same result out — engine and contract version recorded on every artifact
Provenance A confidence score Every statement resolves to a page, a Bates number, coordinates and a content hash
Completeness Ranked lists, top results surfaced Nothing is dropped. We rank, group and section — never truncate
Unknowns A blank field UNKNOWN is a value, and it is distinct from "nobody checked"
Finality Output is output Nothing is marked final until every completeness and legal check passes. Otherwise it says what is missing, on its own face
Image handling One processed copy of the page Two lineages — the evidence original is never the enhanced copy, and every transform is logged
The economics

Fix intake alone and the backlog relocates

It does not disappear. The mail is filed same-day and the analysis queue grows instead. Covering the whole run — documents in to documents out — takes the drag out of the whole run, and for a firm that bills by the hour there are three places it lands.

01

Non-billable becomes billable

The hours are already being spent; they are simply unbillable, and carriers will not pay for sorting and sifting. Every hour moved from administration to case work is an hour that can be invoiced.

02

Skilled people move up

Your best paralegal stops doing clerical work. The firm scales caseload without scaling headcount, and the people you most want to keep spend their day on work worth keeping them for.

03

Work that never got done now gets done

The Munger brief. The completeness check. The inconsistency statement. The Guides review. Not deferred — never attempted, because nobody had the hours. A savings pitch has a ceiling. This does not.

Why it holds up

Built to survive the response

A subpoena, an inconsistency statement or a demand is only worth having if it survives what comes back. These are architectural rules, not settings — each one written against a specific way this work fails.

Nothing is dropped
No top-five lists, no "and 14 more", no silent caps. We rank, group, section and paginate — and every item stays present and reachable. In a medical-legal record the omitted item is precisely the one opposing counsel finds.
Algorithms decide
Every score, classification, threshold and citation is produced by deterministic code. A language model may only render an already-decided result into readable prose. If a different model could change the answer, the answer does not belong to the model.
Everything is addressable
Documents are normalized into Bates-addressable pages before anything touches them. Every extracted value carries a character span resolving to page, coordinates and confidence, and every artifact is content-hashed — so you can prove what was said, where, and that it has not changed.
The evidence copy is never enhanced
Two pixel-aligned lineages per page: the provenance original, and a separate working image for the parsers. The record of truth is never read from a manipulated image, and every transform is logged.
Unknown is a value
Never silently false, absent or safe to ignore. "We looked and found none" and "nobody looked" are different facts with different consequences, and they are never rendered the same way.
The law is recomputed, not accepted
Statutory citations are checked against the version in force on the controlling date of the claim. Apportionment arithmetic, regional caps and combination method are recomputed and compared. A conclusion that is asserted rather than derivable does not pass.
A person always signs
Every deliverable is a draft for a qualified professional to own, reviewed section by section, with attestation tracked and required before anything is final. The system never becomes the author.
Get started

Send us one file.

Give us a single claim file and we will return the work product — the chronology, the causation issues, the completeness check — with every line cited to a stamped page. Then decide.