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PI case management.
Doctor communication. Solved.

Connect directly with treating chiropractors, physical therapists, and specialists. Track medical liens, exchange PHI securely, manage records via FHIR, and close cases faster — all in one platform.

HIPAA Compliant FHIR R4 Records Exchange Patient Consent Controlled AES-256 Encrypted
PI Case Workflow

From first call to settlement — end to end

Every step of the PI case lifecycle is managed in one place. Attorney, providers, and client all have role-specific views connected to the same case.

1

Client opens a patient account

Your client creates a free MedXimity patient account. They become the owner of their health record and control all PHI access. Their portal is the single source of truth.

2

Client selects and books a treating provider

They book with a verified chiropractor or PT directly on MedXimity — in-person or telehealth. You see their treatment activity in real time, with consent.

3

You communicate directly with providers

Message the treating provider through the Case Hub. Request functional outcome reports, clarify timelines, and share lien agreements — all documented and time-stamped.

4

Exchange PHI and medical records securely

Native PHI transfer for MedXimity providers. FHIR R4 bridge for providers on Epic, Athena, or any external EHR. Every transfer requires a signed digital patient authorization.

5

Track liens and monitor treatment progress

Every medical lien is logged automatically. Outcome tracking gives you objective functional data at each stage — ready for demand letters and deposition.

6

Close the case, resolve all liens

Notify providers of settlement through the platform. Coordinate lien resolution, get digital confirmation from all parties, and archive the case in full.

MedX Case Hub — Rivera v. Acme
Client
Maria T.
Status
Active Treatment
Providers
Chiro + PT
Total Liens
$4,200
Case Communication
Attorney Dr. Rivera, can you send a functional outcome report for Maria as of today? 9:14 AM
Chiro Uploading now via FHIR bundle — pain 3/10, ROM at 80%. 9:32 AM
PT Session 5 of 8 complete. Discharge in ~3 weeks. 10:05 AM
Patient I signed the HIPAA authorization. You should have PHI access now. 10:18 AM
Functional Outcome Report — FHIR Bundle received FHIR R4
PHI & FHIR Transfer

Medical records delivered to your case file

Whether the provider uses the MedXimity DPC EHR or an external system like Epic or Athena, records reach your case file securely and in minutes — not days.

Native PHI MedXimity DPC EHR Users
1

Patient signs authorization

Digital HIPAA authorization signed in the patient portal. Countersignature by attorney logged automatically.

2

PHI transfer initiated

Attorney requests specific records from the case hub. Provider receives a secure, in-platform notification.

3

Provider releases records

Provider selects and releases chart notes, SOAP records, labs, and imaging — all natively within MedXimity.

4

Records arrive in case file

Delivered instantly. Every document is time-stamped, immutable, and audit-logged. Ready for discovery.

FHIR R4 Bridge External EHR Users (Epic, Athena, eCW...)
1

Patient authorizes FHIR access

SMART on FHIR authentication initiated. Patient grants scoped access to their records at the external provider's system.

2

FHIR bundle requested

MedXimity sends a structured FHIR R4 query to the external EHR API — requesting specific clinical resources.

3

Records translated and received

FHIR resources (Encounter, Condition, Observation, DocumentReference) are normalized and delivered to the case file.

4

Delivered to case file

Same end result as native PHI — structured, searchable, audit-logged, and ready for demand letters and discovery.

All transfers encrypted in transit (TLS 1.3) Audit log on every access event Patient can revoke access at any time
Lien Management

Every lien. Every provider. One view.

No spreadsheets. MedXimity logs every medical lien the moment it's signed, tracks amounts, and flags outstanding balances at settlement time.

Lien Register — Rivera v. Acme Insurance
Provider Specialty Amount Date Signed PHI Transfer Status
Dr. A. Rivera Chiropractic $2,400 Mar 12, 2026 Native PHI Active
Empower PT Physical Therapy $1,800 Mar 19, 2026 Native PHI Active
Advanced Imaging MRI / Radiology $950 Mar 15, 2026 FHIR R4 Pending
Dr. S. Kim Pain Management $600 Apr 1, 2026 FHIR R4 Settled
Total: $5,750 Settled: $600 Outstanding: $5,150
Settlement Timeline

Every milestone tracked automatically

From injury to resolution — the case timeline logs every appointment, record transfer, lien, and communication. One document you can show at any stage of litigation.

Case Timeline — Rivera v. Acme

Accident & initial chiro visit

Patient booked via MedXimity, consent signed

Mar 10, 2026

Medical liens signed

Chiro and PT liens logged — $4,200 total

Mar 12–19, 2026

PHI & FHIR records received

Chart notes, SOAP records, imaging transferred securely

Mar 20, 2026

Functional outcome reports requested

Chiro and PT outcome reports delivered via Case Hub

Apr 9, 2026

Demand letter in preparation

All records compiled. Demand letter being drafted.

In progress

Settlement & lien resolution

Coordinate with all providers via Case Hub

Pending

Case Hub

Secure messaging among attorney, treating providers, and client — all time-stamped.

Digital Records

PHI and FHIR transfer with full audit log. No fax. No mail.

Lien Register

Log, track, and resolve all medical liens. Outstanding amounts always visible.

Outcome Reports

Request standardized functional outcome data from any treating provider.

Case Timeline

Every event logged chronologically. One exportable record for discovery.

Provider Verification

Credentials, malpractice standing, and licensure — all verified and current.

e-Signature

Authorizations, lien agreements, and settlement docs — signed digitally by all parties.

Client Portal

Clients see case status, sign documents, and communicate with you directly.

Get started

Start managing PI cases smarter.

Join attorneys using MedXimity to eliminate provider phone tag, track liens automatically, exchange records securely, and close cases faster.

What's included
Unlimited PI cases
PHI transfer + FHIR R4 bridge
Case Hub — direct provider messaging
Lien register and settlement timeline
e-Signature for all case documents
Outcome reports for all treating providers
FHIR R4 HIPAA TLS 1.3
Create Attorney Account

Attorney-client privilege protected. All communications encrypted. Patient consent required before any PHI or FHIR record access.

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