Outsourced IME record prep services, compared
Short version: 2 of the 7 services publish full price lists: NaviCase ($0.25 to $0.50 a page, 5 business days, orthopedic and spine only) and LezDo TechMed ($0.20 to $0.75 a page by file size, 48 hours). TransDyne publishes 24 to 48 hours but no price, Medico Legal Request publishes $25 an hour and 1 week, and LevelShift, MOS and Vitality publish neither a standard turnaround nor a price.
Limits: We read each vendor's own pages on 2026-11-12 and did not send any vendor a file, so turnaround and quality here are what vendors publish, not what we measured. Prices change; check the source link in each row before you sign.
The 7 services side by side
Each row comes from the vendor's own pages on the capture date shown. A service is any vendor whose staff produce the work product, even when AI helps them.
| Service | Who reads it | Standard turnaround | Rush | Price and minimum | What comes back | Source, captured |
|---|---|---|---|---|---|---|
| NaviCase | NP, PA or physician in active orthopedic or spine practice, directed by a board-certified orthopaedic surgeon | 5 business days | 2 to 4 days +25%; next day +50% | $0.25 a page summary, $0.40 with analysis ($150 minimum); $0.50 IME Report Prep ($500 minimum) | Chronological summary sorted by provider and date; analysis flags gaps and prior conditions; report built on your template | navicasemed.com/pricing, 2026-11-12 |
| LezDo TechMed | AI on its CaseDrive platform, validated by medical and legal staff | 48 hours | 24 hours +20% | Per file: $100 flat to 100 pages, then $0.75, $0.40, $0.30, $0.20 a page by size. Monthly: $0.40 to $0.25 a page, $4,500 minimum below 100,001 pages | Chronology, narrative summary, indexing, hyperlinks, missing record list, PDF and Word | pricing, IME page, 2026-11-12 |
| LevelShift | 3 models: manual, AI plus human, or QC of AI output | Not published (24 hours in 1 case study) | Not published | Not published | Deduplicated and segmented records, index, chronology, summaries, hyperlinked file | levelshift.com, 2026-11-12 |
| MOS (ReviewGenX) | Manual, AI-first or hybrid; IME page says clinical experts review every AI output before delivery | "Depends on case complexity and record volume" | Not published | Not published; free trial | Chronological summary, pre-existing condition analysis, treatment and billing review, imaging findings, causation support | mosmedicalrecordreview.com, 2026-11-12 |
| TransDyne | Service staff; pages written for QMEs | 24 to 48 hours | "Expedited services available" | Not published; free trial on request | Organized, documented record review | transdyne.com, 2026-11-12 |
| Medico Legal Request | Service staff | 1 week | Not published | $25 an hour; free cost estimate | IME report draft: introduction, history, overview | medicolegalrequestllc.com, 2026-11-12 |
| Vitality BSS | Service staff | Not published | Not published | Not published | Not listed on the IME page | vitalitybss.com, 2026-11-12 |
"Not published" means we did not find it on the pages we read. Ask the vendor and get the answer in the contract.
How services price IME record prep
4 price models show up, and each one shifts risk in a different direction. Per page with a case minimum (NaviCase) is easy to predict and charges small files more per page. Bands by file size (LezDo casewise) drop the per-page rate as files grow. Monthly volume bands (LezDo monthly) reward steady volume but carry a floor. Hourly (Medico Legal Request) puts the risk of a slow reader on you.
What each service does, and the catch
NaviCase
The most transparent price list of the group, and the narrowest scope. NaviCase reads spine, joint, fracture and soft-tissue injury files and says it reads "not much else". Its IME Report Prep tier is the closest thing to full record prep on this list: you send raw records plus a transcript of your exam dictation, and it returns a report on your own template with the review done and the Comments and Conclusions sections left blank for you. It confirms the page count and price by email, usually the same business day, and payment starts the clock.
The catch: 5 business days standard, and files outside musculoskeletal injury are out of scope. A psychiatric or internal medicine IME needs someone else.
LezDo TechMed
The only service here with both a per-file and a monthly volume price list, and the fastest published standard turnaround among services that price publicly: 48 hours. The IME page states a capacity band of 5 to 50 reports a month and lists chronologies, narrative summaries, deposition summaries and sorting and indexing. Indexing, hyperlinks and a missing record list are included in the base rate.
The catch: the monthly plan bills at least $4,500 a month below 100,001 pages, so it only pays at real volume. Add-ons such as a treatment timeline ($35 to $100) are priced separately.
LevelShift
An IT and business process firm with a medical record review practice for IMEs, QMEs, life care planners, attorneys and insurers. It is the only service that sells QC of AI output you generated yourself as a separate model, which suits a company that already owns software and wants a second set of eyes. Its case study for a California medical-legal firm reports summarized, hyperlinked records within 24 hours.
The catch: no published rates or standard turnaround. You will be quoting from scratch.
MOS (ReviewGenX)
Managed Outsource Solutions has run record review since 2002 and now sells it in 3 models: manual, AI-first and hybrid. Its IME page lists 10 deliverable components, including pre-existing condition analysis and causation support, and says every AI output is reviewed by clinical experts before delivery. It reports a completed SOC 2 Type II examination.
The catch: turnaround "depends on case complexity and record volume", and prices are not published.
TransDyne
A documentation and transcription company with a record review page written for California QMEs. Its FAQ states 24 to 48 hours standard with expedited service available, and it offers a free trial on request.
The catch: the page describes outcomes, not deliverables. Ask for a sample before you send a file.
Medico Legal Request LLC
The only hourly service on the list: $25 an hour for IME report drafting, with a free cost estimate and 1 week turnaround. The page lists introductory information, history and an overview as report sections.
The catch: hourly billing means the final cost depends on how fast the drafter reads. Get the estimate in hours and pages before you approve it.
Vitality BSS
A business support company with an article page on medical records for IMEs and a general record review service. The page gives no deliverables, turnaround or price.
The catch: nothing to compare until you ask.
8 questions to put to any record prep service
- Who reads the file, with what license, and are they in the US?
- Is turnaround counted from upload, from page count confirmation, or from payment?
- What is the rush fee, and is the rush date guaranteed or a target?
- How are pages counted, and are duplicate pages billed?
- What is the case minimum, and is there a monthly minimum?
- Does every chronology entry cite a page, and are the citations linked to the file?
- What happens when records arrive after the work starts?
- Will you sign a BAA, and where do the files live?
Questions about IME record prep services
Which IME record prep service is fastest?
Among the 7 services, TransDyne publishes 24 to 48 hours and LezDo publishes 48 hours standard with 24 hours for 20% more. NaviCase offers next-day service for 50% more on top of a 5 business day standard.
Which services publish their prices?
NaviCase, LezDo TechMed and Medico Legal Request. LevelShift, MOS, TransDyne and Vitality BSS ask you to contact them.
Do services bill duplicate pages?
The ones that publish rules count pages in the files you send. NaviCase counts every page of every readable file. Ask any service whether it removes duplicates before counting.
Can a service write the IME report?
NaviCase's IME Report Prep returns a report on your template with the conclusions left for you, and Medico Legal Request drafts IME reports by the hour. The opinion and signature stay with the examiner.