Medical chronology software picks by budget
Short version: at $0, use Superinsight's physician offer or free trials. Under $100 a month, CaseMark, OctopusLM, InjuryMgmt or Dodonai's annual plan. From $100 to $700, MediScan or InjuryMgmt's larger plan. At 20,000+ pages a month, CaseMark's per-set cap and OctopusLM's 4-cent rate cost least on paper; Medrecords AI (ours) wins only when many pages repeat.
Limits: Scores come from what each vendor publishes on its own website, read 2026-11-12. We have not tested these products, so a score measures what a buyer can verify before a sales call, not output quality.
The 4 budgets and the pick for each
| Monthly budget | Pick | Also fits | Watch for |
|---|---|---|---|
| $0 | Superinsight, for licensed med-legal physicians | Free trials: Newcase 1,000 pages, OctopusLM 1,000, Medrecords AI 1,000 after a demo, InPractice 500, InjuryMgmt 200, Dodonai 100 | Superinsight's offer is tied to an attorney referral network; trials are for testing, not a free tier |
| Under $100 | CaseMark for large single files; OctopusLM for small ones | InjuryMgmt $99 for 1,500 pages; Dodonai Lite $300 a year | CaseMark's BAA needs a monthly plan; OctopusLM bills duplicate pages |
| $100 to $700 | MediScan | InjuryMgmt $249 for 5,000 pages; IME Coach $229 for 3 report credits | Monthly plans charge in quiet months; rollover of unused pages isn't stated |
| 20,000+ pages a month | CaseMark, then OctopusLM | MediScan $665 plan; Medrecords AI at 8 or 5 cents with volume credits | Dodonai's largest plan covers 120,000 credits a year, about 10,000 pages a month |
What 3 practice sizes pay each month
We worked out a month at 3 volumes from each vendor's published prices: 1 file of 800 pages, 4 files of 1,500 pages, and 10 files of 2,500 pages. These are our sums, not quotes. Vendors that publish no price are left out; that is 9 of the 22 on the score sheet.
| Product and plan | 1 case of 800 pages (800 a month) | 4 cases of 1,500 pages (6,000 a month) | 10 cases of 2,500 pages (25,000 a month) |
|---|---|---|---|
| Medrecords AI (ours) | $80 | $600 | $2,000 |
| OctopusLM | $40 | $300 | $1,000 |
| InPractice | $96 | $600 | $1,750 |
| CaseMark | $33 | $160 | $500 |
| Legalyze | $299 | $1,196 | $2,990 |
| MediScan | $169 | $620 | $1,415 |
| InjuryMgmt | $99 | $299 | $1,249 |
| IME Coach, pay per page | $136 | $1,020 | $4,250 |
| Dodonai, annual plan | $50 | $83 | Above its largest plan |
| Lexitas Record Insights | $200 | $1,500 | $6,250 |
| Superinsight, physician offer | $0 | $0 | $0 |
| NexLaw ChronoVault, 1 license | $250 | $250 | $250 |
| Casefleet Advanced AI, 1 user | $140 | $140 | $140 |
How each line was worked out:
- Per-page tools (Medrecords AI, OctopusLM, InPractice, Lexitas) use the rate a buyer at that yearly volume can reach by prepaying: Medrecords AI 8 cents once a year's pages pass 100,000 credits; OctopusLM 5 cents with the $300 top-up and 4 cents past 100,000 pages; InPractice its pack price for a year's pages.
- Plans with a page allowance (MediScan, InjuryMgmt) use the cheapest plan for the month's pages, plus published overage.
- CaseMark is $25 plus 1 cent a page per file, capped at $100. Legalyze is $299 a file at the regular price ($199 for firms that start by 2026-11-30).
- Dodonai is the smallest annual plan that covers a year's pages, divided by 12. We count 1 PDF page as 1 billable page; Dodonai defines a billable page as about 400 tokens, so dense pages can cost more.
- IME Coach uses pay-per-page ($99 a month credited toward 17 cents a page). Its price includes a report draft, so it is not like for like.
- Flat seats (NexLaw, Casefleet) don't change with pages. Casefleet's AI plan helps you build the timeline; you still do most of the reading.
3 things that move your real number
Duplicate pages
Records requested from several providers repeat the same notes, labs and imaging reports. Only Medrecords AI (ours) says it removes exact duplicates and doesn't bill them. OctopusLM says duplicates are billed and suggests removing them before upload. The rest don't say. With a 30% duplicate share, our 4-file month drops from $600 to $420; at 50%, the 10-file month falls to $1,000, level with OctopusLM. Count the duplicates in 1 closed file before you compare quotes. The 30% and 50% figures are examples for the sum, not measured averages.
File size caps
InjuryMgmt caps a case at 3,000 pages and 100 MB. CaseMark's $100 cap covers record sets up to 25,000 pages; larger sets need a quote. IME Coach's report credits cover 750 to 1,500 pages each, depending on plan, and a bigger file uses more credits. A thick med mal file can break a plan that looked cheap.
Prepayment and commitment
Dodonai bills annually up front. NexLaw is an annual license ($2,999 or $3,999). OctopusLM's low rate needs a prepaid top-up. InPractice packs and Medrecords AI credits don't expire, according to their pages, so prepaying is safer there. Monthly plans (MediScan, InjuryMgmt, IME Coach) charge whether or not a file arrives.
Cheap is not the only cost
The software fee is usually the smaller number. Your own time checking the output is the larger one. A tool that costs $40 more a file but lets you click from each entry to its page can still come out cheaper once your hours are counted. That is why the rubric weights citations above price.
2 budget mistakes to avoid:
- Paying for a report tool when you only need a chronology. Report-based pricing (IME Coach, Legalyze) makes sense if you use the draft. If you write your own report, a per-page tool costs less.
- Choosing a law-firm tool for its price. Several cheap options are built for demand letters and case work. Their chronology may sort by damages or provider, not by the clinical timeline you need.
When to pay for a quote-only product
9 of the 22 products publish no price. For a solo examiner, that alone is a reason to start elsewhere. For a hospital system or an IME company with procurement, security review and 50,000+ pages a month, a quote can beat any published rate, and enterprise contracts carry terms no price page shows. In that case, use the published prices above as your anchor in the negotiation.