Medical chronologies your case strategy can stand on
A medical chronology is a dated, page-cited timeline of every medically significant event in an injury case: each visit, diagnosis, imaging result, and work restriction in order, with a record citation for every entry, so a demand letter, deposition outline, or mediation statement can be verified line by line against the records.
A demand letter is only as strong as the timeline behind it. We turn record sets of any size into dated, page-cited chronologies, with treatment gaps flagged, billing reconciled, and the facts that hurt you surfaced privately instead of discovered at deposition. Flat per-document pricing quoted from the page count before work starts, no hourly meter.
Written and legally reviewed by our editorial team
Every entry, four columns
- DateEvery medically significant event, in order.
- ProviderTreater and facility identified on every line.
- EventWhat happened, written in litigation-usable language.
- Record citeThe exact pages in the Bates-stamped or paginated set.
What a page-cited medical record chronology includes
Six deliverables come back on every engagement, whether the set is eighty pages from one urgent-care visit or two thousand pages across a dozen providers.
Dated timeline with record citations
Every entry cites the exact pages in the Bates-stamped or paginated set, so any line can be verified by you, opposing counsel, or a mediator in seconds.
Treatment gaps and causation risks flagged
Gaps in care, pre-existing findings, degenerative language, and inconsistent complaints are marked for you privately. Adjusters hunt for these; you should see them first.
Billing reconciliation
Charges totaled by provider and category, duplicates flagged, so your specials number is defensible to the dollar.
Deadline-aware turnaround
Turnaround stated with the quote; rush handling when mediation or a statute date is bearing down.
Provider and facility index
Every treater and facility identified once and tracked across the set, so the cast of the treatment story is clear before the first deposition is noticed.
Editable, drop-in delivery
The chronology arrives as an editable document formatted to drop into your demand package, mediation statement, or trial notebook, not a locked PDF.
Medical chronology example and format
This is the working format, published here instead of behind a download form: date, provider, medically significant event, record citation. The excerpt below is an illustrative composite, not a real patient.
| Date | Provider | Event | Record cite |
|---|---|---|---|
| 03/14/2025 | Mercy General ER | Presented via EMS post rear-end MVC. CC: neck pain, headache. CT cervical spine negative for fracture. Dx: cervical strain. Discharged with NSAIDs. | MG 004-011 |
| 03/18/2025 | Dr. A. Reyes, PCP | Follow-up. Persistent cervicalgia radiating to left shoulder, ROM reduced. Referred to physical therapy 2x/week, 6 weeks. | REY 002-003 |
| 04/02/2025 | Lakeside PT | PT eval. Pain 6/10. Note: patient reports missing work shifts (documented wage-loss anchor). | LPT 001 |
| 05/27/2025 | Radiology Assoc. | MRI C-spine: C5-C6 disc protrusion abutting the thecal sac. First objective finding; gap of 12 days since last PT visit flagged. | RAD 003-004 |
Note the May 27 entry: the objective MRI finding lands twelve days after the last PT visit, so the gap is flagged the moment it becomes material. That is the difference between a chronology and a date list.
Want the full multi-page sample as a DOCX?
The complete sample chronology with billing reconciliation and gap flags, sent to your work email with the rate card. For attorneys and firm staff.
How much do medical chronology services cost?
Market rates for outsourced medical chronologies typically run a few hundred dollars per record set: established legal BPOs advertise roughly $245 to $350 for an average 500-page file, with per-page surcharges beyond quoted volumes, and hourly vendors bill $35 to $60 per hour with an open-ended total. We quote a single flat per-document price from your page count before work starts, so the number you approve is the number you pay; the current rate card arrives with your quote.
Who sends us medical chronology work
The desk is built for licensed counsel and firm staff. The record set changes; the discipline does not.
Personal injury plaintiff firms
Demand-stage timelines that anchor the specials number, mediation exhibits a neutral can verify line by line, and treatment stories built to survive an adjuster looking for reasons to discount them.
Solo and small-firm trial attorneys
No subscription, no minimum volume, no platform fee: send one record set or twenty. The flat quote makes file-workup cost knowable at intake, when you are deciding whether to take the case.
Insurance defense and coverage counsel
The same page-cited discipline applied from the other side of the file: claimed treatment checked against what the records actually document, entry by entry.
High-volume and multi-plaintiff dockets
One consistent format across every plaintiff file, so associates and paralegals read each timeline the same way and nothing depends on who worked the file.
Malpractice, comp, and mass tort or MDL teams
Medical malpractice teams building the standard-of-care timeline, workers compensation counsel tracking treatment and restrictions across the life of the claim, and mass tort or MDL firms that need every plaintiff file rendered in the same identical, page-cited format.
How a chronology engagement runs, record set to delivery
Five fixed steps, the same on every matter, so the file never sits in a queue you cannot see.
- 1
Send the record set
Upload the Bates-stamped or paginated set through the secure portal with your deadline. Nothing moves by email.
- 2
Flat quote from the page count
One per-document price and a stated turnaround, quoted from the volume before any work starts. The number you approve is the number you pay.
- 3
Extraction pass
AI-assisted extraction catches every visit, diagnosis, imaging result, medication change, and charge, each tied to its page cite.
- 4
Human legal review
Experienced legal writers review what matters legally: the gap in treatment, the pre-existing degenerative finding, the inconsistent pain score. Adverse facts are flagged privately for you.
- 5
Editable delivery
The finished chronology returns through the portal, formatted for your demand package or trial notebook. Source records are purged on your instruction.
When the file needs findings, not a timeline
Not every case needs the full timeline. A record review answers a narrower question: what do these records actually support? That deliverable is a findings memo covering diagnosis history, causation language, prior injuries and claims, and the entries an adjuster or defense IME will lean on. It has its own dedicated desk and format: medical record review for law firms. Like the chronology, it is quoted flat from the page count, so file review costs are knowable at intake, when you are deciding whether to take the case at all.
Deposition summaries on the same matter
Page-line, topical, or chronological summaries from the transcript, with a citation for every summarized statement, are handled by our deposition summary desk. Summaries pair naturally with the chronology on the same matter: the medical timeline says what the records show, the deposition summary says what the witnesses admitted, and the demand or motion writes itself from the two.
Three ways to engage the chronology desk
Every path runs on the same flat per-document quote; the only variable is how much of your docket the desk carries.
Single matter
One record set, one flat number.
Send one case to test the format. The quote comes from the page count, the deliverable arrives editable, and there is no standing commitment behind it.
Request the rate cardRecurring docket
Standing rates across the caseload.
Firms with steady intake put the desk on their file-workup path: the same per-document rate card across the docket, with rush handling when mediation or a statute date is bearing down.
Request the rate cardFull workup on one matter
Timeline, findings, and testimony together.
Pair the chronology with the findings memo and transcript work covered above, so the records, the billing, and what the witnesses admitted arrive as one consistent, cited package.
Request the rate cardHow records are handled, and the line we never cross
Medical records are the most sensitive material a firm sends out. Four controls govern every engagement before the first page is opened.
Portal, not email
Records move through the secure portal rather than email, with access limited to the team working the matter and closed when the engagement ends.
BAA where required
We execute a Business Associate Agreement where your workflow requires one, before any protected health information moves.
Attorney-only engagement
All work is performed for you, the attorney. We never contact your client, a provider, an adjuster, or opposing counsel.
Purged on instruction
Source records are purged on your instruction after delivery, so the file does not live anywhere your retention policy does not know about.
All deliverables are attorney work-product support prepared for licensed counsel: we never contact your client, providers, or opposing parties, and nothing we prepare is filed or served by us. Records are handled through the secure portal, under a Business Associate Agreement where required, and purged on your instruction. Legal Tank is not a law firm.
What clients say about the work product
Real reviews from the Legal Tank platform: injury settlement documentation, attorney overflow drafting, and court-facing work product.
“After a car accident the other driver's insurer was lowballing me and stalling. I had basically given up. A friend recommended this service and they drafted a settlement demand with all the medical costs and lost wages properly itemized. The offer tripled. I cannot recommend them enough. They took something I found completely overwhelming and just handled it.”
“Great communication throughout. Felt looked after.”
“Reliable and responsive.”
Get a flat quote from your page count
Tell us the document type and rough record volume. You'll get the per-document rate card and turnaround, usually within one business day. Part of the law firm drafting program.
Medical chronology services FAQ
What is a medical chronology?
What do your medical chronology services include?
How is this different from hiring a medical record review company hourly?
Do you also prepare deposition summaries?
How do you handle HIPAA and record confidentiality?
Who actually builds the chronology?
What is the difference between a medical chronology and a findings memo?
What does the timeline capture, and can I get it in a different format?
Know the number before the work starts
Send the document type and rough page count. The per-document rate card and turnaround come back, usually within one business day.
Rush handling available when mediation or a statute date is bearing down