PHYSICIAN-SIGNED VERDICTS · STUCK MSK FILES · CANADA
Every stuck claim is waiting for a sentence only a physician can sign. Lumeval writes it — one page, five business days, not five months.
Illustrative case values — see the sample case below.
or email dan@lumeval.com
Opinions inform decisions — they never make them. No IMEs. No causation, compensability, entitlement, or fitness-for-duty determinations. All return-to-work and duty decisions remain with your clinicians and decision-makers.
THE ANATOMY OF A STUCK FILE
Almost every long-aging MSK file has the same shape: an ambiguous imaging report, and nobody in the chain licensed to call it. Case managers can't overrule a radiology report. Family physicians defer to it. A specialist consult is months away. So the file waits — while the employer pays for modified duty and replacement labour, and the case-management team wears the file's age at renewal.
WHO IT'S FOR
Lumeval works inside your existing process — it does not replace your clinical team, your case managers, or your providers. It supplies the one layer none of them can staff: a fellowship-trained musculoskeletal radiologist, on demand.
DISABILITY MANAGEMENT & OH FIRMS
Verdicts delivered under your brand. Faster closures on your aging MSK book — and one line in your next bid no competitor can copy: "stuck files reviewed by a Royal College examiner in MSK radiology."
INSURERS & CLAIMS TEAMS
Your AI and your adjusters can flag a stalled claim. They can't sign a clinical opinion. One-page imaging-relevance verdicts give your case managers the answer the file has been waiting on.
MINING & HEAVY INDUSTRY
For operators carrying 90+ day cases: every reviewed case leaves with an owner, an action, a deadline, and an escalation path. Built for how mining actually runs — including Indigenous-owned and co-managed operations, with Indigenous data-governance pathways respected.
THE VERDICT
Illustrative sample — representative values. Every verdict follows this structure and carries the standing limitation below.
Does the imaging finding explain the current restrictions — yes or no?
L4-5 disc protrusion with moderate degenerative change — a common, frequently asymptomatic pattern in working-age adults.
No — the imaging finding does not, on its own, explain the current restriction level. The file's clinical picture supports progression planning by the treating team.
Duty-progression planning meeting between the OH team and supervisor; imaging does not need to be repeated before that conversation.
THE BACKLOG REVIEW
For employers and their providers carrying aging injury caseloads — built for mining and heavy industry. The review covers open, non-litigated physical injury cases, focused on lost-time MSK files aged 90–180 days. Every reviewed case receives an accountability map: bottleneck, missing decision, next action, named owner and backup, deadline, escalation trigger and recipient, estimated avoidable days, and tracked follow-up at day 14 and day 30. Represented or litigated files are excluded from review and appear in executive reporting as aggregate exposure visibility only.
MRI completed 9 weeks ago; report ambiguous on whether the disc finding explains current restrictions; no RTW decision made
Does the imaging finding explain the current restrictions — yes or no? Duty decisions remain with the site's OH team.
Physician-clarified imaging relevance note to OH team; RTW planning meeting scheduled with supervisor
OH nurse (J.M.) / Claims coordinator (R.T.)
10 business days
missed by 3 days → Site General Manager
35–60
replacement labour + modified-duty aging, est. $28–46K
Day 14 — meeting held, duty progression plan defined — case moving
Illustrative composite based on the case patterns the review is built for. As engagements complete, this section will show real, client-approved results.
Aggregate only — no worker-level data · Illustrative sample
WORKER-POSITIVE
No worker should be left in limbo because the next step is unclear.
Lumeval's work is designed to improve process clarity, reduce unresolved case drift, and support timely coordination. It does not assess claim validity, worker credibility, entitlement, compensability, disability, impairment, or fitness for duty.
BOUNDARIES
AI assists with timeline extraction, classification, and drafting. A physician reviews and signs every verdict and accountability map. AI makes no autonomous claim, entitlement, fitness-for-duty, or medical-legal decisions.
No names, no health numbers required to start.
Materials are structured for review.
Every verdict, every map — physician-finalized.
No public medical-record upload is available on this website. File transfer is arranged directly with each client using a secure workflow. Employer-facing outputs are aggregate and de-identified.
PRICING
No platform fees, no long-term commitment, no procurement marathon. Test the verdict on your three oldest MSK files — if they don't move your thinking, we part friends.
PROOF TEST
CAD $1,500Your three oldest stuck MSK files. Three signed verdicts in five business days.
PER-VERDICT
$500–1,500Per file, by volume and file size. Under your brand or ours.
PARTNER RETAINER
MonthlyReserved capacity with a turnaround SLA — quoted after the proof test.
BACKLOG REVIEW
From $20,00030-case accountability review with day-14 and day-30 follow-up, flat fee.
FAQ
No — structurally, we can't. Lumeval's scope is deliberately limited: opinions inform decisions, they never make them. All return-to-work, duty, and claim decisions remain with your clinicians and decision-makers. We are the sub-specialty layer no case-management firm can staff — a fellowship-trained MSK radiologist, fractional and on demand — and the goal is to make your existing team faster, not to replace any part of it.
A verdict answers one operational question in plain language: does the imaging finding explain the current restrictions — yes or no — and what is the recommended next clinical or process step. It does not address causation, compensability, entitlement, disability, impairment, or fitness for duty, and every verdict carries that standing limitation in writing.
No. Represented or litigated files are excluded from review. In backlog engagements they appear in executive reporting only as aggregate exposure visibility. This protects the worker, your legal position, and the integrity of the work.
The model is built to be worker-positive: no claims adjudication, no IMEs, no fitness-for-duty assessments, no credibility or fraud scoring, no individual worker dashboards, and no employer access to individual worker medical information. The purpose is that no worker is left in limbo because the next step is unclear. We encourage clients to brief worker representatives before an engagement starts and can support that conversation.
Intake starts de-identified — no names, birthdates, addresses, SINs, or health card numbers. Documents are requested only for files under review and transferred through a secure workflow arranged directly with your team, never by email. Employer-facing outputs are aggregate and de-identified with small-cell suppression. Full details are in our Security & Data Handling overview.
AI assists with timeline extraction, classification, and drafting. A physician reviews and signs every verdict and accountability map. AI makes no autonomous claim, entitlement, fitness-for-duty, or medical-legal decisions.
Yes. Lumeval is built for heavy industry including Indigenous-owned and co-managed operations, and respects Indigenous data-governance pathways (including OCAP-aligned approaches) wherever they apply. Engagement structures are shaped with the community's governance, not around it.
For verdicts: the file, a named contact, and the question. For backlog reviews: one named internal sponsor empowered to assign owners, a de-identified case export within two weeks of signing, and attendance at the day-14 and day-30 follow-up reviews.
FOUNDER
Dr. Dan Gill is a fellowship-trained musculoskeletal radiologist (FRCPC, Royal College of Physicians and Surgeons of Canada) and served ten years as a Royal College examiner in Diagnostic Radiology. He was an MSK imaging physician at the Vancouver 2010 Olympic Games. He comes from a multi-generational British Columbia coal-mining family and has worked first-hand in open-pit coal operations — which is why Lumeval is built for how heavy industry actually runs, not how claims software assumes it runs.
Connect on LinkedInCONTACT
Disability-management and OH firms, insurers, and heavy-industry operators: tell us where your MSK files are stuck, and we'll show you what a signed verdict does to them.