Structured as one scoped engagement — one approval, one secure record transfer, one coordinated deliverable sequence, and one invoice. Packages are priced for scope simplicity and are not automatically discounted below the component services. A firm may classify the invoice as a case cost only where its engagement agreement and applicable law permit.
The $350 Case Viability Screening remains available as a tightly defined screen and may be credited toward a substantially overlapping larger engagement commissioned within 30 days.
New-client substantive engagements generally begin at $750. Lower published amounts apply to tightly controlled report-only work or same-record add-ons where scope permits.
Priority review may be available from a 50% surcharge, subject to record volume, complete-file receipt, current capacity, and quality-control requirements. Availability is confirmed in writing.
A controlled pilot for PI firms seeking recurring physician-authored medical substantiation before a demand is sent. Each matter is separately scoped for objective findings, treatment course, severity, function, prior-condition differentiation, documented future care, missing evidence, and anticipated carrier medical objections.
From $2,250 for three standard matters. Record-volume and complexity assumptions are written into the pilot. Any monthly capacity arrangement is offered only after actual review time and variation are measured.
Request Pre-Suit Pilot Scope →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, predictable scoped 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.
Counsel-directed physician comparison of selected behavioral-health NQTLs with analogous medical/surgical processes across applicable benefit classifications — structured as a clinical workstream for litigation, agency response, or plan remediation.
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 · Lens scoped as standalone because the IME quality review is report-focused
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 |
| Life Care Plan Medical Foundation Review | From $1,750 | 5–10 days | Future-care medical support, duration, causation, duplication, and contingencies |
| 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 / Inventory Qualification Pilot | From $5,000 | Pilot-defined | MDL defense coordination |
| Defense Medical Lens™ | From $400 add-on · $950 standalone | 48 hrs add-on · 3–4 days standalone | Medical record vulnerability assessment |
| Defense Vulnerability Analysis | From $800 standalone | 3–5 days | Ranked plaintiff-case vulnerability map |
| Case Viability Screening — Defense Framing | From $350 | 72 hrs | Plaintiff case exposure evaluation |
| Medical Charge & Necessity Review — Defense Framing | From $450 memo · From $1,200 standard | 3–5 days memo · 5–10 days standard | Billed-charge exposure & reasonable-value range |
Volume arrangements: For TPAs, carriers, and defense firms with recurring case volume, monthly capacity retainers are available with defined file limits and scope-based pricing. Contact for details.
| Engagement type | What’s included | Starting fee | Component starting total | Best for |
|---|---|---|---|---|
| Full Case Workup | CVA + IME Deconstruction + Defense Medical Lens™ | From $1,250 | $1,250 | Cases with a received IME approaching mediation |
| IME Response Package | IME Deconstruction + Defense Medical Lens™ | From $900 | $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 |
| Life Care Plan Medical Foundation Review | Future-care medical support, duration, causation, duplication, and contingencies | From $1,750 | — | Serious-injury future medical damages |
| Expert Readiness Brief | Specialty, opinion, foundation, and counsel preparation questions | From $750 · Treating-physician module from $400 add-on | — | Before expert retention or treating-physician deposition |
| Pre-existing Condition Dossier | Date-linked prior-condition and aggravation analysis | From $750 · Same-record add-on from $400 | — | Disputed baseline, causation, or contestability chronology |
| Treatment Gap Analysis | Gap chronology, explanations, pressure grading, and evidence needs | From $600 · Same-record add-on from $300 | — | Cases with delayed, interrupted, or inconsistent care |
| LTD / ERISA Medical-Function Review | Diagnosis-to-function map, adverse-review analysis, and record gaps | From $750 focused | — | Claimant or defense administrative-record review |
| Medical Charge & Necessity Review (standalone) | Necessity, relatedness, coding & charge reasonableness | From $450 memo · From $1,200 standard | — | When the dollar value of the medical specials is the dispute |
| LNC Monthly Retainer | Physician deliverables under your brand | Contact for pricing | — | LNC firms with recurring referral volume |