EvenUp Launches Medical Management and AI Communication Agents to Protect Case Value and Keep Treatment on Track
For personal injury firms, treatment drives outcomes - and lost visibility drains value. EvenUp is introducing a Medical Management Solution with AI Communication Agents that give managers real-time visibility into care, automate routine check-ins, and flag issues before they become expensive problems.
The premise is simple: gaps in care create gaps in recovery and settlement. EvenUp's data shows 16.8% of plaintiffs develop a 30-day treatment gap within the first three months. That grows to 32.4% after six months, and 43% of cases see gaps longer than 30 days. When you're managing hundreds of files, those numbers add up fast.
Why this matters to firm leaders
Insurance coverage windows close quickly, yet most teams piece together updates from calls, PDFs, and manual notes. By the time a gap surfaces, case value may already be compromised. Managers need live status, clear risk signals, and a structured way to intervene without adding manual work.
What's in the Medical Management Solution
- Interactive care timeline: A single view of treatment history, upcoming care, expenses, notes, and client communications - populated within an hour of file upload.
- Early gap detection: Flags missed visits, treatment gaps, and missing bills/records before they erode value.
- High-value treatment signals: Identifies recommended and completed MRIs, injections, surgeries, and other critical procedures so case managers can prioritize high-impact files.
- Treatment Check-In Agents (SMS/voice, English/Spanish): Friendly, automated outreach that confirms appointments and captures updates. Case managers receive concise summaries highlighting who needs personal follow-up.
"The technology with human insight and oversight allows us to be much better advocates for our clients," said Clark H. Fielding, Founding Principal & Esquire at Fielding Law. "We can pull up information in real time during depositions and get the ammunition we need to be the best advocates possible."
Communication Agents: keeping conversations active without burning staff time
The Treatment Check-In Agent is the first in a suite that will span the full case lifecycle. Upcoming agents will support record retrieval follow-ups, balance verification, and liability/coverage verification. The goal: reduce friction in the slowest communication steps so teams can spend more time on strategy and client guidance.
"When you're managing hundreds of cases, it's impossible to speak with every client regularly," said John K. Zaid, Managing Partner and Founder at John K. Zaid & Associates. "EvenUp's Communication Agent keeps those conversations going while my team focuses on the critical work of medical management and maximizing client recovery."
How managers can operationalize this in 30 days
- Define the "red list": Set thresholds for 14-day and 30-day gaps, missed visits, and stalled referrals. Route alerts to a single owner.
- Map your data flow: From intake to discharge, document where treatment data originates, how it enters the system, and who verifies it.
- Stand up escalation rules: Treatment gap → automated check-in → paralegal call → attorney review for high-value procedures.
- Review scripts and languages: Approve English/Spanish outreach scripts; align tone with firm standards and local norms.
- Audit and compliance: Confirm consent, data sharing, and access policies align with HIPAA and bar ethics. See HHS HIPAA guidance.
- Weekly dashboard: 30-minute review of gap trends, high-value procedures, and stalled records - then assign actions.
KPIs to track
- % of cases with 30-day treatment gaps: Baseline in month one; target a steady reduction each quarter.
- Time-to-intervention: Days from missed visit to first human follow-up.
- Missed-visit rate: Pre- and post-automation comparison.
- Record cycle time: Days from request to complete records/bills.
- High-value treatment completion: Share of recommended MRIs/injections/surgeries completed within target windows.
- Hours saved per case: Admin time reduced via automated check-ins and summaries.
Guardrails to protect clients and the firm
- Human in the loop: Staff reviews flagged cases and sensitive responses before action.
- No pressure for unnecessary care: Respect the cadence of recovery; document rationale for outreach.
- Audit trails: Log contacts, consents, and decisions for depositions and QA.
- Data governance: Limit access by role; set retention policies and vendor agreements.
- Script calibration: Test for accuracy, clarity, and cultural fit in both languages.
What else is new from EvenUp
Earlier this year, EvenUp introduced Mirror Mode, an AI drafts capability that helps firms replicate their best work across document types. Combined with Medical Management, the platform is expanding from document generation into full case lifecycle management.
"Personal Injury AI is moving from reactive to proactive, and treatment is the next frontier," said Rami Karabibar, CEO and Co-Founder of EvenUp. "By bringing real-time visibility to client care, we're helping firms see what's next, not just what's happened."
The company recently closed a $150 million Series E led by Bessemer Venture Partners with participation from REV (the venture arm of RELX, owner of LexisNexis), B Capital, Bain Capital, Premji Invest, Lightspeed, and others, bringing its valuation above $2 billion.
For deeper details
Read the full announcement here: Business Wire release.
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