QUALIFY.AI · PART OF LEXMATA EXAMINE

See What the RecordsActually Support.

Your firm defines the review criteria. Lexmata checks the medical records and delivers structured Excel findings with references to the source.

No software to install. No subscriptions. No long-term contracts.

QUALIFY.AI FINDINGS · EXCERPT

REVIEW CRITERIONDocumented knee diagnosis
DOCUMENTED FINDINGMRI describes a medial meniscus tear
SUPPORTING RECORDMRI, pp. 23-26
Illustrative example using fictional medical information

SEE THE REVIEW IN ACTION

From Your Criteria to Documented Findings.

Your firm provides the criteria. We review the medical records and document the findings, with references to the supporting source.

YOUR FIRM’S REVIEW CRITERION

Documented knee diagnosis

Provided by your firm with the records

SUPPORTING MEDICAL RECORD

Illustrative medical record
KNEE MRI REPORTPg. 24
PATIENT:

Impression: Medial meniscus tear.

Source: MRI, pp. 23-26

QUALIFY.AI EXCEL FINDINGExcerpt
REVIEW CRITERIONDOCUMENTED FINDINGSOURCE
Documented knee diagnosisMRI describes a medial meniscus tearMRI, pp. 23-26
REVIEW CRITERIONDocumented knee diagnosisDOCUMENTED FINDINGMRI describes a medial meniscus tearSOURCEMRI, pp. 23-26
Illustrative example using fictional medical information.
  • Structured Excel Results

    Organized findings your team can review and filter.

  • Source References

    Find the supporting documentation behind each result.

  • Consistent Criteria

    Apply the same review instructions across multiple files.

YOUR CRITERIA

Tell Us What You Need to Confirm.

Your firm defines the medical findings that matter. We review the supplied records for that information.

  • Diagnoses & Dates

    Documented diagnoses, injury types, and relevant dates of care.

  • Treatments & Procedures

    Surgeries, procedures, therapies, and treatment history.

  • Prior Medical History

    Pre-existing conditions and earlier treatment relevant to the review.

  • Providers & Clinical Findings

    Treating providers, facilities, imaging results, and documented clinical details.

  • Work Status & Restrictions

    Work limitations, return-to-work status, maximum medical improvement, and impairment ratings.

  • Case-Specific Requirements

    Other medical findings or qualification criteria defined by your firm.

Your criteria may change from one matter to another. Our review follows your instructions.

BUILT AROUND THE MATTER

Different Cases. Different Questions.

What your team needs to confirm depends on the matter and where you are in the review.

Mass Tort Claims

Check diagnoses, treatment dates, and other medical evidence against your firm’s claim criteria. Apply consistent instructions across groups of claims.

Personal Injury Cases

Review documented injuries, prior conditions, treatment history, and findings relevant to your team’s evaluation.

Workers’ Compensation Claims

Review treatment history, work restrictions, maximum medical improvement, and impairment ratings when documented.

Qualify.ai can support initial reviews, newly received records, or consistent criteria checks across multiple files.

PART OF LEXMATA EXAMINE

Built Into Examine.

Qualify.ai is included within Lexmata Examine, along with Identification, Organization, and Case Synopsis.

  • Identification
  • Organization
  • Qualify.ai
  • Case Synopsis

Together, they provide organized medical records, criteria-based findings, and a Case Synopsis to support your team’s evaluation.

Summarization and Fact Chronology are included in Lexmata Explain, not automatically in Examine.

FAQ

Questions About Qualify.ai

What is Qualify.ai?

Qualify.ai is Lexmata’s criteria-based medical record review capability within Examine. It reviews supplied records against your firm’s instructions and delivers structured, source-referenced findings.

Can our firm choose what Qualify.ai reviews?

Yes. Your team defines the diagnoses, treatments, clinical findings, and other case-specific criteria relevant to the matter.

What format do we receive?

Qualify.ai findings are delivered in a structured Excel format, with references to the supporting medical records.

What if a required finding isn’t documented?

The review can identify criteria that aren’t supported by the supplied documentation or may need further review. Missing documentation does not necessarily mean the medical event or condition did not occur.

Can Qualify.ai be used across multiple files?

Yes. Firms can apply consistent review instructions across larger groups of claims or cases.

Does Qualify.ai determine whether a case qualifies?

No. Qualify.ai reviews documented medical evidence against your firm’s criteria. Final qualification decisions and legal conclusions remain with your team.

Send Us Your Criteria.We’ll Handle the Review.

Tell us what medical findings matter to your case. We’ll review the records and deliver findings your team can verify.

No software to install. No subscriptions. No long-term contracts.