MEDEXEC for carriers, SIU teams, and TPAs
Stop paying claims you shouldn't.
MEDEXEC screens every injury claim in minutes. Fraud patterns. Biomechanical inconsistencies. Inflated bills. Your adjusters see the flags before they touch the file.
- 18 proprietary algorithms
- Pay per case — no long contract
- Built for SIU, claims, and TPA teams
The three screens your SIU will use most
Three algorithms. One pass. Minutes.
Score every provider.
Upcoding, unbundling, phantom billing, lien patterns. Each provider gets a score from 0 to 100. High scores are investigative leads for your SIU — never accusations.
Check the injury against the crash.
Disc herniation from a 5-mph parking-lot tap? The screen flags it. A fragile 70-year-old with the same claim? It passes. Biomechanics, not guesswork.
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.
How it works
From claim file to flagged findings in four steps.
1
Upload the claim file.
Medical records, bills, demand package. Whatever your adjuster has.
2
MEDEXEC runs 18 screens.
Fraud, causation, timeline, bills, reserves, valuation. All in one pass, in minutes.
3
Review flagged findings.
Every flag carries its evidence and its citation. Your adjuster decides — the system never does.
4
Close the loop.
Record what actually happened. MEDEXEC measures its own accuracy against your outcomes and gets sharper over time.
Why teams switch
No multi-year contract. No six-month implementation.
Legacy enterprise platforms take quarters to deploy and years to escape. MEDEXEC starts with 50 claims. You compare our flags against your adjusters' findings. If the screens don't earn their keep, you walk away.
Fast to start.
Upload claims today. See screens today. No IT project, no integration phase.
Priced per case.
Pay for the claims you screen. Scale to SIU team seats when the volume justifies it.
Built for both sides of the file.
Carrier screens and plaintiff-side screens run on the same clinical engine. One system, full picture.
Running a TPA? Same pain, same screens.
You administer claims for self-insured employers. Fraud, inflated bills, and weak-causation claims hit your book the same way they hit a carrier's. The screens work the same. So does the 50-claim pilot.
Pricing
Start free. Scale when it pays.
1
50 claims free.
Full screens. Compare against your adjusters. No card, no contract.
2
Pay per case.
Screen claims as they come in. Simple per-case pricing for SIU and claims teams.
3
Enterprise.
Team seats, API access, and custom screens for carriers with volume.
Get started
Screen 50 claims free.
Send us 50 claim files. We run the full 18-algorithm screen. You compare our flags against what your adjusters 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.