Built by a QME, for QMEs · Made in California
QME Copilot turns 200–2000 page record sets into a complete draft Review of Records section, with page citations on every fact. Runs entirely on your Mac. Your patient files never leave your computer.
macOS only at launch · Texas DD support coming · No record uploads. Ever.
Step 1 · Drop in
Step 2 · Locally on your Mac
Step 3 · Drop into your report
Review of Medical Records
06/12/2023 — Date of injury. Examinee reports lifting a 60-lb crate when he experienced acute lumbar painp. 34.
06/14/2023 — Initial evaluation by Dr. Patel, Family Medicine. Diagnosis: lumbar strainp. 52.
07/22/2023 — MRI lumbar spine. Findings: L4-L5 disc protrusion with mild canal stenosisp. 119.
Stylized representation. Real screenshots and a 60-second screen recording will replace this preview before launch.
If you've done QME work for any length of time, you know the pattern. A 1,200-page record set lands on your desk Monday. By Friday you've read every encounter note, summarized the imaging, built the chronology, and traced the medications — leaving the weekend to actually write the report.
QME Copilot does the reading and the chronology for you. Every fact is anchored to a page citation. Every encounter is classified by type. Imaging is gated to actual FINDINGS: blocks, not UR-letter prose. Pharmacy printouts — including the scanned ones where Tesseract collapses the table — are parsed by anchoring on prescriber suffix patterns.
By Friday, you're already editing.
How it works
Drag in any combination of PDFs — the master record set, EMG/NCS reports, MRI reports, pharmacy printouts, UR letters, prior QME reports. QME Copilot handles 200 to 2,000 pages per case, including scanned and OCR-needed material.
Copilot ingests the PDFs (PyMuPDF + Tesseract for scanned pages), segments encounters by header heuristics, extracts providers, dates, imaging, procedures, surgeries, medications, and opinions — and consolidates with page-level deduplication.
Every fact links to its source page. Step through the case viewer, verify each section, and gate-sign before export. The audit log captures who reviewed what and when — so your medical-legal work stands up to challenge.
Export a Word document drop-in for your report — or use your own QME letterhead template and Copilot pours the content into your style. Plain-text and structured JSON export are also available for downstream tooling.
Why local-first
Most AI tools want you to upload everything. We took the opposite approach. QME Copilot installs as a desktop app, processes records on your machine, and only contacts our license server to verify your seat. PHI never transits our infrastructure.
PDFs you drop in are processed entirely on your Mac. No cloud OCR, no cloud storage, no transit.
Your seat is bound to your Mac via Ed25519 signature. Move it yourself — no per-document auth pings.
We collect nothing about the cases you process — not page counts, not file names, not extraction outputs.
The desktop app can run with network monitoring on. You'll see exactly what leaves your machine — only license heartbeats, nothing else.
What you get
06/12/2023 — Date of injury. The examinee reports lifting a 60-lb supply crate at work when he experienced acute, sharp lumbar pain radiating into the right lower extremityp. 34.
06/14/2023 — Initial evaluation, Vinay Patel, MD (Family Medicine). Examinee reports 8/10 lumbar pain with right-sided radiculopathy. Examination notes positive straight-leg raise on the right at 45°p. 52. Diagnosis: lumbar strain with right L5 radiculopathy. Plan: NSAIDs, muscle relaxant, physical therapy referralp. 53.
07/22/2023 — MRI lumbar spine without contrast (Marina Imaging). Findings: L4-L5 right paracentral disc protrusion measuring 5 mm with mild central canal stenosis and right neural foraminal narrowingp. 119. Impression: L4-L5 disc protrusion with right L5 nerve root impingementp. 120.
08/03/2023 — Electrodiagnostic study (EMG/NCS), David Cho, MD. Findings consistent with right L5 radiculopathyp. 142. No evidence of peripheral neuropathy or alternative diagnosisp. 143.
09/15/2023 — Right L5-S1 transforaminal epidural steroid injection, performed by Sarah Kim, MDp. 167. Examinee reports approximately 60% reduction in radicular pain at two-week follow-upp. 174.
Excerpt from a fabricated test case used in our regression harness. Real cases produce drafts of the same structure.
Page citations on every fact
Anchored to the original page in the master PDF — click through to verify in seconds.
Encounter classification
PCP, ER, ortho, neuro, PM, PT, EMG, MRI, ESI, surgery, QME — all by header heuristics.
Drop into your template
Bring your own letterhead .docx. Copilot pours the draft into your formatting.
Pricing
Founding
Founding rate locks for the life of your subscription. After the first 25 seats, the price moves to standard.
After checkout you'll receive a one-time activation email. License binds to the Mac you activate it on.
Standard
Billed monthly. No setup fees. Hardware-locked to one Mac (deactivate to move).
Annual billing available — email us for an annual checkout link (15% off).
If you run a QME practice or want to license seats for staff, we'll set you up with custom invoicing and bulk activation links.
Email us →Limited cohort access for verified QMEs. Email us with your QME number and we'll send a 14-day evaluation key.
Request access →FAQ
QME Copilot pays for itself in one case. Try it on your next file.