Medical record review services FAQ
Short answers to the questions buyers ask most, each with a link to the page that covers it in full. Prices and times were captured from each service's own site on 2026-11-12.
Limits: We have not ordered work from the services listed: prices and turnaround times are what each service publishes on its own site on the date shown, and the worked example uses a synthetic file.
Cost, time and scope
What does a medical record review service cost?
Published rates run from $15 to $35 an hour, $0.20 to $0.75 a page, and $200 to $250 per case for hospital external peer review, with case minimums of $100 to $1,000 at some services. See the price page.
Why do quotes for the same file differ so much?
Because the hours, the page count and the scope differ. On our synthetic 1,400-page file, 6 published models gave $140 to $720. Send every vendor the same statement of work.
How long does a record review take?
From 48 hours to an average of 10 business days at the services that publish it. Ask when the clock starts. See turnaround.
What is included in a basic record review?
Usually a page-cited chronology, with bookmarks, hyperlinks and a missing records list often at no charge. Narratives, timelines and opinions cost extra. See what's included.
Am I charged for duplicate pages?
None of the 11 price pages we read says. Ask, and write the answer into clause 10 of the statement of work.
Can the service write my medical opinion?
Some services sell physician opinions, priced separately at $35 to $50 an hour. If the opinion goes in a report you sign, it has to be yours.
Risk, privacy and AI
Does a review service need to sign a BAA?
If you are a covered entity or a business associate sending PHI, yes, before any record is sent. Ask whether the BAA covers every tool and subcontractor that touches the records.
Do review services use AI?
Many say they do, including NaviCase, Medilenz and LezDo TechMed. Ask which steps use AI, which tools, and who checks the output. See AI vs manual.
Are records sent offshore?
Sometimes. A software vendor's comparison lists offshore review teams at $100 to $1,000 per case. Ask where records are processed and put the answer in the contract.
How do I check the quality of a summary?
Pick 20 entries at random and open each cited page. 2 or more wrong dates, pages or facts is a pattern worth raising. The method is on the statement of work page.
Buying for a hospital or practice
Where does a hospital get external peer review?
From peer review organizations, hospital networks such as ICAHN in Illinois, or specialty societies. Ask for the reviewer's specialty, the conflict check and what happens to the record afterwards.
Should a practice sign a long contract?
Start with 90 days and 1 test file. Monthly minimums, such as LezDo TechMed's $4,500, only make sense at steady volume. Use the quote calculator to compare.