Privacy-conscious record handlingDo not send medical records through general inquiry forms.

Examination Intelligence

Observe the Examination. Verify the Report. Preserve the Record.

Structured RN support before, during, and after a defense or independent medical examination—where attendance is permitted, authorized, and arranged by counsel.

Attorneys & authorized professionalsStarting at $1,250

Published starting point. Final scope is confirmed after record-volume and complexity review.

Defined service ladder

Medical Examination Intelligence

One report plus 75–100 comparison pages

Medical Examination Report Analysis™

Starting at $1,250

One examination report plus a specifically identified comparison record set.

Core deliverables
  • History-source and stated-record review
  • Approved-record comparison
  • History, finding, and measurement discrepancies
  • Omitted events or records
  • Unsupported-assumption flags
  • Finding-versus-opinion separation
  • Internal inconsistencies
  • Report-analysis discrepancy register
  • Focused counsel or expert questions
  • Versioned attorney-ready release

Larger comparison sets are separately scoped.

Discuss this level
Local observation base scope

DME/IME Nurse Observation™

Starting at $1,500 plus travel

Objective nursing observation where permitted, scheduled, and included in the engagement.

Core deliverables
  • Pre-examination scope and authorization review
  • Structured objective observation notes
  • Time-sequenced observation report
  • Direct-observation versus reported-statement separation
  • Unresolved factual questions
  • Attorney-facing summary
  • Versioned release with reviewer identity and limitations

Travel, excess waiting, rush, evening/weekend, cancellation, testimony, and subpoena work are separate.

Discuss this level
Coordinated observation and focused analysis

Medical Examination Intelligence Package™

Starting at $2,750

Coordinated observation and focused report analysis under one written scope.

Core deliverables
  • Pre-examination scope and readiness review
  • Structured RN observation
  • Time-sequenced observation report
  • Examination-report analysis
  • Report-to-observation comparison matrix
  • Report-to-approved-record comparison
  • Discrepancy and omission register
  • Focused follow-up questions
  • Coordinated versioned release
  • Reviewer and QA identification

Travel, excess time, rush, cancellation, testimony, subpoena work, and added comparison records are separate.

Discuss this level

Starting prices reflect a defined record set and review scope. Final pricing depends on record volume, record quality, number of facilities, date range, specialty, urgency, requested depth, supplemental records, OCR quality, duplicate burden, and requested verification level. Every engagement is confirmed in writing before production begins.

Observation and comparison services remain factual and scoped. The nurse does not direct the examination, coach the examinee, diagnose, provide legal advice, or determine credibility, propriety, negligence, causation, or damages. Travel, excess time, rush, cancellation, testimony, and subpoena work are separate.

Written scope controls

What can change the starting scope

These rules are part of the same controlling catalog as the published prices.

Supplemental records
Records received after the agreed cutoff are reviewed and priced before addendum work begins.
Additional facility, specialty, or date range
May move the matter to a higher tier or trigger a written change order.
Poor scans, OCR failure, or duplicate control
Additional record-processing time or a higher tier is quoted before affected work begins.
Priority · 3–5 business days
Adds 25%–50% only when quality and capacity can be protected.
Rush · 24–72 hours
Adds 75%–100% or 1.5×–2.0×; founder approval and a narrowed scope are required.
Revisions
One consolidated factual-correction round is included unless the service agreement states otherwise. New analysis or new records are additional scope.
Report-analysis comparison set
The base scope covers one examination report plus up to 75–100 specifically identified comparison pages and one principal body system or injury. Larger comparison sets are separately scoped.
Observation base scope
Includes up to 1 hour of preparation, 3 hours on site including waiting, and 2 hours of report preparation within the local radius.
Travel, excess waiting, parking, and lodging
Reimbursed or quoted separately and not absorbed into the base observation fee. Time beyond the included on-site waiting limit requires written approval.
Cancellation
Cancellation terms and any applicable charge are stated in the written engagement; cancellation is not included in the base observation fee.
Testimony and subpoena work
Testimony, deposition, hearing, subpoena-response, and related preparation are excluded from the base service and require a separate written scope when available and appropriate.

Critical Timeline organizes and clinically reviews medical information only within the records supplied and agreed written scope. We are not a law firm; we do not provide legal advice, diagnose or recommend treatment, determine negligence, liability, standard of care, causation, damages, case value, or legal deadlines, replace a qualified retained expert, or guarantee an outcome.

Separate service family

Observe the Examination. Verify the Report. Preserve the Record.

Structured RN support before, during, and after a defense or independent medical examination—where attendance is permitted, authorized, and arranged by counsel.

BEFORE

Confirm authority and prepare

  • Receive the assignment from counsel
  • Review the demand, order, or agreement
  • Confirm observer authorization, boundaries, recording rules, tests, and logistics
  • Confirm date, location, examiner, specialty, documents, imaging, travel, waiting, and cancellation terms
  • Prepare a structured observation template
DURING

Observe objectively

  • Times, waiting, persons, instructions, questions, and responses
  • Tests, maneuvers, body areas, equipment, and duration
  • Breaks, interruptions, participant statements, and referenced documents or imaging
  • Observable effort or responses without assigning motive
  • Observable sequence deviations and limits placed on the observer
AFTER

Release a controlled factual record

  • Time-sequenced observation report
  • Direct observation separated from reported statements
  • Unresolved factual questions and attorney-facing summary
  • Preserved comparison baseline for the examiner’s report
  • Versioned release with reviewer identity and scope limitations

Choose the examination pathway

Match the service to when counsel is entering the process.

PathwayBest whenObservation roleCore comparison
Report AnalysisThe examination has occurred and the report is availableNo nurse presentCompares the report with the approved record set
Nurse ObservationThe examination is upcomingCreates an independent factual observation recordLater report comparison is separate unless added
Full Intelligence PackageCounsel wants continuity before, during, and afterIncludes observation and focused report comparisonOne coordinated, versioned release

Coordinated process

One controlled path from authorization through focused follow-up.

  1. 01Confirm authority and scope
  2. 02Prepare for the examination
  3. 03Observe objectively
  4. 04Release the observation report
  5. 05Receive and analyze the examination report
  6. 06Compare the report with the observation and approved records
  7. 07Identify focused follow-up questions
THE PACKAGE ANSWERSWhat occurred during the examination, what does the resulting report say, where do the two align or differ, and what requires focused follow-up?

Objective observer boundaries

The nurse preserves facts without directing the examination.

Remote report analysis may be performed nationwide, subject to engagement and scope. In-person observation depends on location, applicable rules or agreements, counsel authorization, nurse availability, travel requirements, and the examination schedule.

  • Does not direct or interfere with testing
  • Does not coach the examinee
  • Does not provide legal advice or diagnose
  • Does not determine whether the examination was proper
  • Does not independently determine credibility, negligence, causation, or damages
Separately scoped charges and services

Travel, parking, lodging, excess waiting, evening or weekend work, priority or rush work, cancellation, testimony, deposition, hearing preparation, subpoena response, added records, facilities, or specialties.

The question this Intelligence service answers

“What occurred during the examination, what does the resulting report say, where do the two align or differ, and what requires focused follow-up?”

The engagement is organized around a defined decision or conversation—not around producing pages for their own sake.

Core Intelligence deliverables

  • Medical Examination Report Analysis™
  • DME/IME Nurse Observation™
  • Medical Examination Intelligence Package™
  • Focused discrepancies and follow-up questions

Best fit

When this level of Medical Intelligence makes sense

  1. 01

    DME/IME preparation

  2. 02

    Nurse observation where permitted and arranged

  3. 03

    Report-to-record comparison

Scope and strategy

Choose observation, report analysis, or a coordinated examination pathway.

The observation service preserves observable encounter facts where attendance is permitted. Report analysis separates history, source summary, findings, assumptions, and opinions. A combined scope can align the two without treating every difference as a conclusion.

Signals this may be the right level

  • An examination is upcoming and attendance may be permitted
  • Counsel needs an objective encounter timeline
  • A completed report requires source comparison
  • The reported examination and documented encounter need structured review
  • Focused questions are needed for counsel or a retained expert

Related pathways

Match the specialty, matter type, and next decision

Service questions

Know what this level does—and does not—decide.

Can a nurse observer attend every examination?

No. Attendance depends on jurisdiction, the applicable order or agreement, setting, scheduling, and the permitted observer role.

Can report analysis be ordered without observation?

Yes. The examiner's report can be compared with the defined medical records even when no observation account exists.

Does Critical Timeline decide whether the report is credible?

No. The service identifies source support, discrepancies, omissions, and questions. Credibility, admissibility, and ultimate significance remain with counsel and qualified experts.

The scope comes first

No records through the general intake.

We first confirm fit, boundaries, pricing, timing, and the engagement. A separate transfer method is arranged only after that step.

Test the examination pathway first
Check fit and scope

Attorneys preparing for or assessing a DME/IME · Intelligence matched to purpose

See whether Examination Intelligence is the right starting point.

Start the guided intake