Disability Claims

Disability Claims Medical Record AI

Disability files are long by definition. OctopusLM reads years of treatment records and returns a dated, page-cited chronology and summary so the functional picture is visible on day one.

$0.10/page  ·  $250/month unlimited  ·  Custom team plans  ·  HIPAA & PIPEDA compliant  ·  Web-based, nothing to install

Disability files are a different kind of hard

A disability claim — short-term, long-term, or SSDI — is decided on the relationship between documented medical findings and functional capacity over time. The file is not one injury and six months of treatment; it is often several conditions, a dozen providers, and years of notes in which the important statements about function are buried in routine follow-ups.

The questions are specific:

  • What are the diagnosed conditions, and when was each established?
  • What does the record say about functional capacity — sitting, standing, lifting, concentration, attendance — and how has it changed?
  • Is treatment ongoing and compliant, and is there a documented plateau?
  • Are there gaps in treatment or inconsistencies between providers?
  • Does the record support the own-occupation / any-occupation transition at the change-of-definition date?

What OctopusLM produces for a disability file

Upload the records as received. OctopusLM returns:

  • A dated chronology of every encounter, diagnosis, medication change, functional statement, imaging result, and specialist opinion — with a page citation on every line.
  • A narrative summary of the conditions, treatment course, current status, and documented functional limitations.
  • Visible gaps and plateaus — periods without treatment, or long runs of unchanged findings, are obvious on a dated timeline in a way they never are in a PDF.
  • Word and Excel export for the claim file, the IME referral, or the appeal.

Long treatment histories and mental health records

Two file types dominate disability work and both are hard to summarize by hand:

OctopusLM is built for both, and for files where the two overlap.

Who uses it on disability files

Role Use
Disability claims examiners / case managers A cited chronology at intake, at change of definition, and at appeal
Nurse and vocational consultants A verified timeline as the starting point for functional analysis
IME and file-review physicians Read the whole file in minutes before forming an opinion
Claimant and insurer counsel A chronology that cites the page for every asserted fact
Life care planners The record foundation for future-needs analysis — see building the record foundation

Pricing

Run one real file at $0.10 per page. Individual professionals use $250 per month unlimited. Disability units with multiple examiners are priced as a custom Insurance & Legal plan with multi-user accounts and case sharing — book a 15-minute demo.

Frequently asked questions

Does OctopusLM decide whether someone is disabled?

No. It organizes and cites the medical record so that the examiner, physician, or adjudicator making the decision can see the full functional picture quickly and point to the exact pages that support it. The determination remains a human judgement.

How does it handle files that span many years?

Long files are the normal case. OctopusLM processes thousands of pages, orders every encounter by date regardless of how the records were scanned, and identifies duplicates by content so a re-sent consult does not inflate the treatment history.

Can it pull out functional capacity statements specifically?

Functional statements — restrictions, limitations, work-status notes, activities of daily living — appear as dated entries in the chronology alongside the clinical findings that accompany them, with the source page cited.

Is it suitable for SSDI as well as private LTD?

Yes. The chronology and summary are the same regardless of the benefit type; the file is the file. Representatives and consultants working SSDI claims use the same workflow as insurer disability units.

Is the data handled securely?

Records are encrypted in transit and at rest, processed in HIPAA- and PIPEDA-compliant infrastructure, and never used to train models. OctopusLM is a web application; nothing is installed locally.

Run one real file.

That's the fastest way to know if this is useful to you. Takes about five minutes, $0.10 a page.