QME record review picks by practice size
Short version: a new QME with 2 files a month should pay per page and nothing more (about $58 to $116 a month on our synthetic files). A busy solo with 10 heavy files does best on a flat seat or a 5,000-page allowance (about $300 to $400 a month). A group with 40 files a month should run software on every file and keep a hybrid service only for overflow and the worst scans.
Limits: Prices, turnaround and features come from each vendor's own website, read on 2026-11-12. We did not send any vendor a real file, so turnaround and quality are the vendors' claims. Nothing here is billing or legal advice.
How these examples are built
Synthetic, no real patient and no real practice. Each heavy file is 806 pages, the size implied by CWCI's average excess-page charge of $1,817 (CWCI). Prices are the vendors' published rates on 2026-11-12, with no duplicates assumed. Service prices are not published, so services appear as a decision, not a dollar figure. Your own numbers go in the calculator.
New panel QME: 2 files a month
The synthetic month: 1 heavy file (806 pages) and 1 light file (350 pages), 1,156 pages in all.
| Option | Month | Per file | Note |
|---|---|---|---|
| OctopusLM, $300 top-up at 5 cents | $57.80 of credit used | $28.90 | $300 paid up front lasts about 5 months at this volume |
| InjuryMgmt Review | $99.00 | $49.50 | 1,500 pages included; fine until a 3,000-page case |
| Medrecords AI (ours) or Doqtor, 10 cents | $115.60 | $57.80 | Nothing to pay in a month with no files |
| MediScan Starter | $169.00 | $84.50 | Plan fee runs in empty months too |
| QME Copilot seat | $299.00 | $149.50 | Most expensive at this volume |
Pick: a pay-per-page tool. The cheapest line, OctopusLM's top-up, needs $300 paid in advance and bills duplicate pages; a 10-cent tool with a free first file costs about $58 more a month and nothing in a month without files. A service is hard to justify here: you can't compare an unpublished rate, and at 2 files a month your own reading of software output is the cheaper check.
Busy solo QME: 10 heavy files a month
The synthetic month: 10 files of 806 pages, 8,060 pages in all.
| Option | Month | Per file | Note |
|---|---|---|---|
| QME Copilot seat | $299.00 | $29.90 | Mac only; 1 seat per machine |
| InjuryMgmt Review Plus | $402.00 | $40.20 | $249 for 5,000 pages plus 3,060 at 5 cents |
| OctopusLM, top-ups at 5 cents | $403.00 | $40.30 | Bills duplicates |
| MediScan Team | $665.00 | $66.50 | 10,000 pages included, room to grow |
| Medrecords AI (ours) or Doqtor, 10 cents | $806.00 | $80.60 | Medrecords AI bills only deduplicated pages |
| InPractice, 15-cent pack | $1,209.00 | $120.90 | Bigger packs bring it to 10 cents ($806) |
Pick: a flat seat if you work on 1 Mac and your files stay in the 200 to 2,000 page range QME Copilot is built for; otherwise a 5,000-page allowance. Per-page tools cost about twice as much at this volume, so pick one only for a feature the cheaper options lack, such as duplicate pages billed at zero or a missing-records list. If you have an assistant, this is the size where a hybrid service for the 1 or 2 worst files a month starts to make sense.
QME group or management company: 40 heavy files a month
The synthetic month: 4 physicians, 40 files of 806 pages, 32,240 pages in all.
| Option | Month | Per file | Note |
|---|---|---|---|
| QME Copilot, 4 seats | $1,196.00 | $29.90 | 1 Mac per physician; files stay on each Mac |
| InjuryMgmt Review Plus | $1,611.00 | $40.27 | 1 account; check multi-user terms |
| OctopusLM, top-ups at 5 cents | $1,612.00 | $40.30 | 4 cents with a $4,000 top-up |
| MediScan Team | $1,777.00 | $44.42 | 10,000 pages plus overage at 5 cents |
| InPractice, 100,000-page pack | $2,256.80 | $56.42 | 7 cents; pack lasts about 3 months |
| Medrecords AI (ours) at 100,000 credits | $2,579.20 | $64.48 | 8 cents per deduplicated page; credits never expire |
Pick: software on every file, chosen on output quality rather than price, because the spread between these options is about $1,400 a month across 40 files. A group also needs things a solo doesn't: shared access to cases, an audit trail of who checked what, and a BAA that covers every user. Keep a hybrid service contract for overflow weeks and for files that are mostly handwriting, priced per page in writing.
When to skip outsourcing altogether
- Files under 200 pages. The base fee covers the first 200 pages, and a short file is often quicker to read than to upload and check.
- Supplemental batches of a few dozen pages, unless your tool bills per page and turns them around in minutes.
- Files you can't send under a BAA. If a vendor won't sign 1, the file stays in-house.
Questions about practice size
What should a new QME use for record review?
A pay-per-page tool with a free first file, such as Doqtor, OctopusLM or Medrecords AI (ours). It costs nothing in a month with no evaluations.
At what volume does a flat seat pay off?
On our synthetic files, a $299 QME Copilot seat beats 10-cent per-page pricing from 4 heavy files a month (3,224 pages cost $322.40 at 10 cents).
Should a QME group use a service or software?
Software on every file, with a hybrid service kept for overflow and unreadable scans. Services publish no page rate, so price any contract in writing first.