QME report software pricing and cost per report
Short version: on a synthetic 1,400-page record set, the record step costs $20 to $238 a report depending on the tool and your volume (a flat QME Copilot seat is cheapest at high volume), and QME practice software adds $15 to $25. A lean full stack runs $35 to $95 a report, 1.7% to 4.7% of the $2,015 ML201 base fee. Management services that take a share of collections cost at least $403 a report at SimpleExam's 20% floor.
Limits: We read each vendor's own pages and the DWC regulations on 2026-11-12 and did not test any product with real records. Prices change, and nothing here is legal or billing advice.
Published QME software prices, 2026-11-12
Each price is copied from the vendor's own page on the date shown. Vendors without a dollar price (Docura, easyIME, Long Health, MDpanel, Report Depo, United Medical Evaluators, daisyBill) are on the vendor page.
| Product | Pricing model | Published price | Source, date |
|---|---|---|---|
| QME Companion | Per billable service, with an allowance | $100 a month for 5 services, $20 each after; $1,200 a year for 80, $15 each after | qmecompanion.com, 2026-11-12 |
| SimpleExam | Share of collections, or pay per service | Full Service "as low as 20%"; Self-Managed per service, no figures | simplexam.com, 2026-11-12 |
| OctopusLM | Per page, prepaid credits | 10 cents; 5 cents with $300 (6,000 pages); 4 cents with $4,000 (100,000 pages) | octopuslm.co, 2026-11-12 |
| Doqtor | Per page | 10 cents per page processed, first case free | doqtor.io, 2026-11-12 |
| InPractice | Page packs, never expire | 15, 12, 10 or 7 cents a page in packs of 1,000 to 100,000 | inpractice.ai, 2026-11-12 |
| InjuryMgmt | Monthly page allowance | $99 for 1,500 pages; $249 for 5,000; 5 cents a page after | injurymgmt.com, 2026-11-12 |
| MediScan | Monthly page allowance | $169 for 1,200 (then 10 cents); $445 for 3,500 (7 cents); $665 for 10,000 (5 cents) | mediscan.ai, 2026-11-12 |
| QME Copilot | Flat per seat, unlimited cases | $199 a month (first 25 seats); $299 standard | qmecopilot.com, 2026-11-12 |
| IME Coach | Per page, or report credits | $99 a month credit then 17 cents a page; $229 for 3 reports of up to 750 pages | imecoach.com, 2026-11-12 |
| ZyDoc | Monthly, by document volume | About $350 for about 100 edited documents | zydoc.com, 2026-11-12 |
| Medrecords AI (ours) | Per deduplicated page, credits | 10 cents; 8 cents at 100,000 credits; 5 cents at 500,000; report $10 | our page, 2026-11-12 |
The synthetic case behind every cost
Synthetic, no real patient. A panel QME sees an orthopedic workers' comp claim and bills ML201. The parties' records total 1,400 pages, and 280 of them (20%) are exact repeats: the same MRI report and operative note sent by 3 senders. Every evaluation is an initial ML201; no supplementals, missed appointments or late cancellations count against plan allowances. The 20% duplicate share is our assumption for illustration, not a measured average.
Tools that bill every uploaded page bill 1,400 pages. Medrecords AI (ours) bills the 1,120 deduplicated pages. Taxes, mailing and rush fees are left out.
Cost per report, solo QME at 4 evaluations a month
| Item | Cost per report | Arithmetic |
|---|---|---|
| QME Companion, monthly | $25.00 | $100 covers 5 services; 4 used |
| OctopusLM, $300 top-up | $70.00 | 1,400 pages at 5 cents |
| InjuryMgmt Review Plus | $69.75 | $249 + 600 extra pages at 5 cents, over 4 reports |
| QME Copilot, founding seat | $49.75 | $199 over 4 reports |
| QME Copilot, standard seat | $74.75 | $299 over 4 reports |
| Medrecords AI (ours), records only | $112.00 | 1,120 deduplicated pages at 10 cents |
| Doqtor | $140.00 | 1,400 pages at 10 cents |
| MediScan Pro | $148.00 | $445 + 2,100 extra pages at 7 cents, over 4 |
| IME Coach, pay per page | $238.00 | 1,400 pages at 17 cents; the $99 credit is used up |
Cheapest full stack at this volume: QME Companion plus OctopusLM prepaid, about $95 a report. On a Mac, QME Companion plus a founding QME Copilot seat is about $75.
Cost per report, busy solo at 15 a month
| Item | Cost per report | Arithmetic |
|---|---|---|
| QME Companion, annual | $15.00 | $1,200 + 100 extra services at $15, over 180 reports a year |
| QME Copilot, standard seat | $19.93 | $299 over 15 reports |
| InjuryMgmt Review Plus | $69.93 | $249 + 16,000 extra pages at 5 cents, over 15 |
| OctopusLM, $300 top-ups | $70.00 | 1,400 pages at 5 cents |
| MediScan Team | $81.00 | $665 + 11,000 extra pages at 5 cents, over 15 |
| Medrecords AI (ours), records only | $112.00 | 1,120 deduplicated pages at 10 cents |
| ZyDoc transcription, if used | $23.33 | About $350 over 15 reports |
Cheapest full stack: QME Companion annual plus QME Copilot, about $35 a report, if you work on a Mac. On Windows, QME Companion plus InjuryMgmt Review Plus or OctopusLM, about $85.
Cost per report, group at 60 a month
| Item | Cost per report | Arithmetic |
|---|---|---|
| QME Companion, annual, 1 workspace | $15.00 | $1,200 + 640 extra services at $15, over 720 reports |
| OctopusLM, $4,000 top-ups | $56.00 | 1,400 pages at 4 cents |
| Medrecords AI (ours), 100,000 credits | $89.60 | 1,120 deduplicated pages at 8 cents |
| InPractice, 100,000-page packs | $98.00 | 1,400 pages at 7 cents |
| SimpleExam Full Service | $403.00 or more | 20% of a $2,015 ML201 base fee; the percentage is a floor |
QME Copilot is per Mac, so a group pays $299 for each physician who uses it. SimpleExam's Self-Managed price is not published, so the group stack has 1 unknown: ask for it in writing.
What the ML fee already covers
The fee for each medical-legal evaluation code "includes reimbursement for the history and physical examination, review of records, preparation of a medical-legal report, including typing and transcription services, and overhead expenses" (8 CCR 9795(b)). So software, transcription and staff all come out of the code's fee. The 2026 codes:
| Code | Service | Fee |
|---|---|---|
| ML200 | Missed appointment, initial or follow-up evaluation | $503.75 |
| ML201 | Initial evaluation; includes 200 pages of records | $2,015 |
| ML202 | Follow-up within 18 months; includes 200 new pages | $1,316.25 |
| ML203 | Supplemental report | $650 |
| ML204 | Medical-legal testimony | $455 an hour, by quarter hour |
| ML205 | Review of sub rosa recordings | $325 an hour, by quarter hour |
Source: 8 CCR 9795(c), read 2026-11-12. Modifiers -93 (interpreter, x1.1), -94 (AME, x1.35), -96 (psych, x2) and -97 (toxicology, x1.5) raise ML201 and ML202; -95 marks a panel QME and changes nothing. Records past the included 200 pages are billed under ML-PRR; how to count and bill them is set out in the same section.
6 pricing models, and when each wins
- Per billable service (QME Companion): cost follows your caseload. Cheapest for a solo QME; supplementals and missed appointments count too.
- Share of collections (SimpleExam Full Service, management companies): no upfront cost and staff included; the most expensive per report once fees are steady.
- Per page (Doqtor, OctopusLM standard, IME Coach pay per page): cost follows file size. Fine for thin files; thick QME sets add up.
- Prepaid credits (OctopusLM top-ups, InPractice packs, Medrecords AI): lower rates for volume paid upfront. Check expiry and whether duplicates are billed.
- Monthly page allowance (InjuryMgmt, MediScan): cheap when you use the allowance, wasted in a quiet month.
- Flat seat (QME Copilot): the cheapest per report at high volume, the priciest at low volume, and tied to 1 Mac.
Questions about QME software pricing
How much does QME report software cost per report?
On a synthetic 1,400-page set, a lean QME software stack costs about $35 to $95 a report at published prices on 2026-11-12. Full-service management at 20% of collections costs at least $403 on a $2,015 ML201 bill.
Which QME record review tool is cheapest per page?
OctopusLM at 4 cents a page with a $4,000 top-up is the lowest published per-page rate we found, and 5 cents with a $300 top-up. It bills duplicate pages; Medrecords AI (ours) doesn't.
Can I bill the claims administrator for QME software?
No. 8 CCR 9795(b) folds report preparation, typing, transcription and overhead into each code's fee, so QME report software is a cost of the practice.