The adjuster finally has a file.

Anacrux chases medical records, work status notes, wage statements and IME or QME reports on open workers’ compensation files until the packet is in the claim file with a timestamped call, fax and portal log and a deadline register the licensed adjuster can defend. It is not an adjuster, not a TPA, and not a new claims system. You start from the outstanding-items list your coordinator already exports.

Software is $490 a month for up to 15 record packages; you review the packet and post it in the claims system. Managed is $1,190 a month for up to 20 packages and adds a named ops reviewer who checks the packet against the statutory clock before it goes to the adjuster. Custom is priced for more volume, more states, or per claim kept inside the statutory window. Every plan is month-to-month with no setup fee.

No. The missing-document list already lives in the claims system. Your coordinator exports it (or forwards the outstanding-items emails) and Anacrux works that list. Writing status back through a Guidewire or Origami integration is how the product gets sticky later; it is not required to start. Spreadsheet desks send the same kind of list.

Anacrux does, on the channels they already use: clinic fax, HIM phone trees, employer payroll, IME/QME portals and business lines. Each request carries the injured-worker authorization already on the file. We do not autodial injured-worker cell phones. Recording follows the stricter of federal and the counterparty’s state, including all-party states such as California, Florida, Illinois, Pennsylvania and Washington.

The packet is built to the outstanding item, not dumped as a PDF. Anacrux checks that the records match the body part and date of injury, that a work status note has restrictions or a full-duty release, that a wage statement covers the AWW period, and that an IME/QME office has the exhibits plus a cover letter the panel will take. Every attempt is timestamped. The licensed adjuster still decides compensability, reserves and benefits. Anacrux does not.

The BLS May 2025 median wage for insurance claims and policy processing clerks is $49,230. Sedgwick posts workers’ compensation claims assistants at $15–$23 an hour. ZipRecruiter’s national average for the title is about $55,000. A 2025 Texas county TPA bid priced the whole claim at $250 medical-only and $975 indemnity. Nurse case managers bill $75–$140 an hour and are a licensed medical seat, not this chase. Anacrux Managed is $1,190 a month for 20 record packages — the slice of the desk that is waiting on a clinic or a payroll clerk — not a replacement for the licensed adjuster.

Datavant and ChartSwap are a retrieval queue: 1.1 million physicians, 661,000 facilities, a portal and a fee. They do not sit on the phone or the fax until a work status note or a wage statement is in the file. Veltha is an AI-native TPA. It handles the claim end to end and “every decision is made by a licensed adjuster.” Anacrux is the outbound chase sold into the TPA or claims team you already have, starting from your outstanding-items export, with no claims-system write-back required.

Every request goes out with the medical release already on the claim. Covered providers may disclose workers’ compensation records under 45 CFR 164.512(l); clinics still often want the signed authorization, so we send it. Calls to business lines are logged. Recording follows the stricter of federal and the counterparty’s state. You keep Guidewire, Origami or your admin system as the system of record; nothing is written there until a person on your side posts the packet. Injured-worker cell phones are not autodialed.