The MEDEXEC algorithm catalog
Eighteen algorithms. One evidence panel.
Every algorithm below is proprietary to MEDEXEC. Each one does one job. Together they screen a claim from every angle — clinical, financial, and legal.
- Physician-directed
- Every finding cited
- No black box
Clinical
The medicine.
Check the injury against the accident.
Flags claimed injuries that do not fit the accident mechanism — and passes the fragile patients who legitimately get hurt easier.
Find the gaps in treatment.
Maps every dated event on the claim and flags gaps the other side will attack — with what they will argue, mapped to each gap.
Grade every IME report.
Scores independent medical exams for thoroughness, bias signals, and defensibility before you rely on them.
Screen malpractice in five steps.
Runs the four D's — duty, deviation, damages, direct cause — against guidelines, with a statute-of-limitations gate up front.
Catch the turn the record took.
Rebuilds the clinical trajectory from the record and pinpoints where the course diverged — missed deterioration, delayed escalation, failure to rescue — each divergence cited to its source page.
Fraud & Billing
The money trail.
Score every provider.
Upcoding, unbundling, phantom billing, referral mills. Each provider gets a score from 0 to 100 — investigative leads for your team, never accusations.
Catch inflated bills line by line.
Usual, customary, and reasonable checks. Duplicate charges. Services with no clinical note behind them. Every flag carries its line item and its reason.
Case Economics
The value of the claim.
Audit the demand before it goes out.
Checks every demand package for completeness, inflated specials, and missing records — plus a Colossus value-driver check so you know your exposure before the carrier runs it.
Set reserves with data, not gut.
Estimates claim reserve ranges from the injury, the jurisdiction, and the venue — so reserves reflect the case, not the quarter.
Predict the settlement range.
Reads case features and historical patterns to forecast where the settlement lands — before the first offer goes out.
Find money you did not know you had.
Reads the accident facts and the coverage picture to surface subrogation opportunities your team might have missed.
Map the policy to the damages.
Lines up every claimed damage against the policy — and flags the gaps and exclusions before they surprise you.
Know which liens will move.
Evaluates medical liens for negotiability and suggests reduction targets — so you negotiate from data, not hope.
Value the whole case in one number.
Combines liability, damages, venue, and carrier behavior into a single defensible valuation with every input cited.
Litigation
The courtroom.
Walk in with the outline written.
Builds a deposition outline from the medical records and prior testimony — the questions the records demand, organized and cited.
Match the expert to the case.
Matches your case needs to the right expert specialty — and runs the conflict check before you make the call.
Know the room before you enter it.
Reads jurisdiction and venue tendencies for your case type — verdict ranges, timelines, and what to expect.
See the road from filing to resolution.
Forecasts litigation milestones and costs from filing day to the end — so you can plan the case, not just react to it.
The platform
More than the sum of eighteen.
The algorithms talk to each other.
A billing gap found by one screen becomes a fraud lead for another. Questionable causation triggers deeper timeline scrutiny. No competitor chains evidence this way.
The system learns from every closed case.
When a case closes, the actual outcome feeds back. The algorithms recalibrate. Nobody else closes this loop — the moat compounds with every case.
Get started
See them on your claims — screen 50 free.
Send us 50 claim files. We run the full 18-algorithm screen. You compare our flags against what your team found. That is the whole pitch.
Prefer to talk first? Write to info@getmedexec.com.
What MEDEXEC means
Medical Evidence-Driven Evaluation eXpert Engine for Claims.
The clinical intelligence platform for injury claims. From records to resolution. Developed by doctors to help doctors.