How We Work

Every engagement begins with a conversation. Below is what to expect — from first contact through final deliverable.

01 — Initial Inquiry

Contact us using the form on this site or by direct email. Please provide a brief description of your inquiry — case type, clinical domain, or organizational challenge. No sensitive records or confidential information are needed at this stage.

We typically respond within 24–48 business hours.

02 — Conflict Screen & Scope Call

Before any records are shared or fees are discussed, we conduct a conflict-of-interest screen. Once cleared, we schedule a brief introductory call (typically 20–30 minutes) to understand your needs, timeline, and what a successful engagement looks like.

There is no charge for this initial call.

03 — Engagement Agreement

We provide a written engagement letter outlining scope, deliverables, timeline, and fee structure. All work proceeds under a signed engagement agreement and retainer.

We work on both hourly and flat-fee structures depending on the nature and complexity of the engagement.

04 — Clinical Review & Analysis

Records and materials are reviewed using a structured methodology, including AI-assisted tools for efficient processing of complex documentation. All clinical analysis, opinions, and written work are performed and authored by our lead physician consultant — never delegated.

For large-volume records, a review timeline will be provided at the start of the engagement.

05 — Deliverable

You receive a structured written work product — such as an opinion letter, case summary, or advisory memorandum — delivered according to the timeline specified in the engagement agreement.

We do not provide verbal-only opinions. All work product is written, structured, and documented.

A Note on Rates

We do not publish fee schedules. Fees depend on engagement type, complexity, and timeline and are discussed during the scope call.

We are not the least expensive option in the market — and we are not trying to be. We work with clients who value thorough, defensible, subspecialty-level analysis.

What We Do Not Do

We do not provide verbal-only opinions without a written record.

We do not accept engagements where a conflict of interest exists, regardless of fee offered.

We do not accept engagements outside our subspecialty depth; those matters are declined or referred.

We do not accept timelines that would compromise the quality of the analysis.

Ready to Start a Conversation?

Use the Contact page or email us directly. We will respond within 24–48 business hours with next steps.