Use Case · MSA Creation

MSAs built from the record, defensible at CMS

Line-item clinical reasoning from the full medical record, not a pricing-table template. SecondLook projects future care item by item with CPT, ICD-10, and HCPCS coding, documents the methodology, and traces every figure back to the chart and the literature, structured to clear CMS review.

MSA ConsultantsLife Care PlannersCarriers & TPAsSelf-Insured Employers
Talk to our team →Start a free case →First case free · up to 2,000 pages
app.secondlookhealth.ai
MSA worksheet · projected lifetime
Cervical fusion revisionCPT 22551 · projected year 4$38,400
Pain management injectionsCPT 64483 · annual$4,200/yr
Oxycodone 10mgICD-10 M54.12 · ongoing$1,860/yr
HIPAA CompliantHIPAA Compliant
SOC 2SOC 2 Type II Certified
AIClosed-System AI
The challenge

A set-aside is only as defensible as the record behind it

Allocations built on a summary invite pushback. CMS scrutiny, counter-reports, and re-work all trace back to the same gap: future care that wasn't grounded, item by item, in the actual chart and the literature.

What you get

Deep clinical reasoning, not a pricing template

The same clinical engine that reads the chart projects, codes, and documents every future-care line, the deep alternative to a templated pass.

Line-item future care

Every projected treatment, medication, and service costed individually, with frequency and duration grounded in the clinical trajectory, not a table.

CMS-aligned coding

CPT, ICD-10, and HCPCS coding applied by date and provider, structured the way reviewers expect to see it.

Documented methodology

Each allocation shows its work: the clinical basis, the literature, and the assumptions behind every figure.

Source-traced, your letterhead

Click any line and land on the exact page it came from, then export the finished report under your own brand and letterhead.

How it works

From records in to submission-ready allocation

1

Ingest

The full record is read and structured, not skimmed.

2

Project care

Future treatment mapped from the clinical trajectory.

3

Code & cost

Each item coded and priced, by date and provider.

4

Document

Methodology and citations attached to every figure.

5

Deliver

A defensible allocation under your letterhead, ready for submission.

Who uses this

Three audiences, one canonical engine

Carriers & TPAs →

Close claims with fewer CMS bounces and a defensible allocation on file.

Self-Insured Employers →

A $3,500 expert-led review on the high-exposure claims driving your losses.

MSA Consultants →

ICHCC-ready submissions under your own brand and letterhead.

99%

Coding accuracy, third-party validated

Days

Not weeks per allocation

Every line

Traced to source

Related use cases

More from the same engine

Build a set-aside that holds up

Line-item, CMS-defensible, and grounded in the record. Run it as a done-for-you service, or start free on your own case.

Talk to our team →