Expert Medical Claims Review Services

OraClaim helps defense lawyers and claims professionals turn complex medical records, claim files, and litigation materials into structured, actionable intelligence. Purpose-built for insurance defense, our AI platform accelerates medical review, surfaces causation concerns, highlights exposure drivers, and produces citation-linked work product so teams can evaluate claims faster, reduce repetitive review, and make stronger decisions.

AI medical claims review dashboard

Our Medical Claims Review Services

AI-powered tools for reviewing medical records, surfacing facts, assessing exposure, and preparing defense work product.

Medical Chronology

Generate complete medical chronologies from raw records, including provider details, diagnoses, treatment, medications, outcomes, treatment gaps, causation concerns, and optional pin-citations for attorney review.

Claim File Review

Ingest entire claim files, classify documents, extract key facts, and flag contradictions, missing information, treatment inconsistencies, causation issues, and unverified details before they affect reserves or litigation strategy.

Case Evaluation

Produce structured liability, damages, medical causation, reserve, settlement, and trial value analyses in minutes, formatted as ready-to-edit work product for defense teams and claims leaders.

Exposure Analysis

Continuously assess liability, damages, reserve adequacy, settlement value, medical specials, wage loss, lien exposure, and emerging claim risks as new records and evidence enter the file.

Litigation Timelines

Automatically build interactive, citation-linked timelines from incident dates, treatment records, pleadings, discovery events, depositions, IMEs, mediation milestones, and other dated events in the claim file.

Deposition Outlines

Draft witness-specific deposition outlines using case facts, medical records, prior statements, discovery responses, expert reports, impeachment material, exhibits, and defense objectives for attorney review.

Claims review workflow with AI analysis

Our AI Claims Review Process

Ingest the Complete Claim File

OraClaim securely ingests medical records, demand packages, statements, pleadings, discovery responses, photographs, expert reports, correspondence, and historical case materials into a closed, access-restricted workspace for authorized defense and claims teams.

Classify Records and Extract Facts

Surface Risks and Exposure Drivers

Generate Review-Ready Work Product

Benchmark and Improve Decisions

The OraClaim Difference

Why Choose OraClaim?

OraClaim is purpose-built for the defense teams responsible for evaluating and resolving complex claims.

Defense-Built

Designed specifically for insurance defense lawyers, claims professionals, carriers, TPAs, and self-insured organizations.

Faster Review

Cuts review time in half by automating document classification, fact extraction, and medical chronology drafting.

Secure Platform

Closed, access-restricted system built around encryption, authentication, confidentiality, and privilege-sensitive workflows.

Actionable Intelligence

Turns unstructured files into exposure insights, benchmarks, timelines, and litigation-ready first drafts.

Meet the OraClaim Team

Built by legal, claims, and security experts.

Portrait of Mark Tepper, Co-founder and CEO of OraClaim

Mark Tepper

Co-founder & CEO

Mark Tepper is the Co-founder and CEO of OraClaim, an AI-powered platform purpose-built for defense lawyers and claims professionals. Drawing on his firsthand experience litigating claims and managing risk for enterprise companies and insurers, Mark identified a critical gap in the defense ecosystem: overwhelming claim volumes compounded by manual processes and unstructured data. This insight drove him to co-found OraClaim with the mission of leveling the playing field against plaintiff firms leveraging technology. Mark brings deep legal and risk management expertise to the company, guiding its strategic vision and ensuring the platform delivers real, measurable value to defense teams across the United States. His commitment to improving the lives of those who manage and defend claims is at the heart of everything OraClaim builds.

Portrait of Andy Anderson, Co-founder and Head of Sales at OraClaim

Andy Anderson

Co-founder & Head of Sales

Andy Anderson is the Co-founder and Head of Sales at OraClaim, bringing extensive expertise in insurance risk analysis and high-exposure claims management. Having spent his career analyzing risk for insurers and managing complex, high-stakes claims, Andy developed a deep understanding of the inefficiencies that put defense teams at a disadvantage relative to plaintiff firms embracing technology. This experience inspired him to co-found OraClaim alongside Mark Tepper, with the shared goal of transforming how defense lawyers and claims professionals work. As Head of Sales, Andy is dedicated to connecting defense organizations across the United States with OraClaim's AI-driven platform, helping them scale capacity, reduce costs, and achieve better outcomes on every claim without sacrificing quality.

Portrait of Ali Khan, Co-founder and Head of Engineering at OraClaim

Ali Khan

Co-founder & Head of Engineering

Ali Khan is the Co-founder and Head of Engineering at OraClaim, a seasoned data security engineering leader who plays a central role in building and safeguarding the platform's technical foundation. Recognized for his expertise in secure system architecture, Ali was brought on by co-founders Mark Tepper and Andy Anderson specifically to ensure that OraClaim's AI platform meets the highest standards of encryption, authentication, and data protection. His work underpins the trust that defense lawyers, insurance carriers, and claims organizations place in the platform every day. Ali is committed to delivering a robust, secure, and scalable solution that integrates seamlessly with existing practice management and document management systems, empowering defense teams to work smarter without compromising on security or accuracy.

Frequently Asked Questions

What are Medical Claims Review Services?

Medical Claims Review Services help defense lawyers, claims adjusters, carriers, TPAs, and self-insured organizations evaluate medical records and claim files more efficiently. OraClaim uses AI to classify documents, extract key medical facts, identify treatment gaps, surface causation concerns, and generate structured chronologies, timelines, exposure summaries, and case evaluations for professional review.

How does OraClaim review medical records?

Who should use OraClaim for medical claims review?

How much time can AI medical claims review save?

What outputs does OraClaim generate from a claim file?

Does OraClaim replace attorneys or claims professionals?

How does OraClaim protect confidential claim information?

Does OraClaim integrate with our existing systems?

Have More Claims Review Questions?

Talk with OraClaim about your defense workflow and review needs.

Trusted Network

Awards and Recognition

DRI membership badge

DRI Member

Connected to leading defense bar community.

FDCC membership badge

FDCC Member

Aligned with defense and corporate counsel.

ADC membership badge

ADC Member

Part of Association of Defense Counsel.

Transform Medical Claims Review With OraClaim

Tell us about your claim volume, workflow, and review challenges. Our team will help you understand how OraClaim can structure files, reduce repetitive review, and support faster, more defensible decisions.

Contact Us Today

For immediate assistance, feel free to give us a direct call at (650) 550-2920. You can also send us a quick email at legal@oraclaim.com.