Who we are

About MOS Medical Record Reviews

Providing Expert Medical Record Reviews Since 2002

Founded in Tulsa, Oklahoma, Managed Outsource Solutions (MOS) has been a trusted provider of medical record review services since 2002. As a fully licensed, insured, and HIPAA-compliant company, we bring over two decades of experience in delivering reliable, secure, and customized solutions to legal firms, insurance companies, healthcare providers, and corporations.

Our team of physicians, paramedical professionals, legal experts, and documentation specialists has long been the backbone of our success. Evolving with technology, we now integrate AI-powered technologies within a Human-in-the-Loop review model, combining intelligent automation with human expertise to ensure unmatched accuracy, speed, and contextual understanding in every review.

Through our proprietary platform, ReviewGenX, we offer AI medical record review with intelligent features like Instruct DK, Quantum Guidelines, and Prompt Review, providing seamless integration and customizable workflows. This transformation enables us to deliver medical chronologies, event mapping, intelligent data extraction, and custom reporting with exceptional precision and efficiency.

With over 20 years of experience in the field, we have designed our services to deliver value and specifically suit the requirements of the legal community, insurance companies, physicians and private corporations among others.

Managed Outsource Solutions BBB Business Review

The MOS Vision

Transforming medical record review process through Artificial Intelligence and when needed human-centered innovation – giving legal, insurance, and healthcare professionals the clarity, speed, and support they need to serve those who depend on them most.

Our mission is simple: to empower professionals with reliable, AI-enabled medical review services that save time, reduce costs, and improve outcomes.

Meet the Leaders

At MOS, our leadership team brings together deep expertise in technology, operations, and customer experience to shape a platform that’s as reliable as it is intelligent. Guided by innovation and integrity, we’re dedicated to making the medical review process smoother, faster, and more human-centered.

By blending cutting-edge AI with real-world clinical and legal insight, our leaders ensure that every review is not only accurate but also context-aware—empowering professionals to make confident, data-driven decisions that improve outcomes and drive trust.

Rajeev Rajagopal

President

Rajeev immigrated to the United States from India in the mid-90s, with an education in physical therapy and computer science, and began working as a physical therapist. He later started a business as a healthcare business consultant. Rajeev manages the day-to-day operations of MOS from NY. With an interest in information technology, he has guided MOS to extensive use of digital technology and the internet that benefits MOS as well as its clients. Having worked in several rehabilitation clinics, Rajeev has learned the importance of good medical records for billing and liability issues and how important good back and front office support is to a successful practice. He has experience in handling workers’ compensation, personal injury, and No Fault insurance plans. Rajeev resides in Long Island, NY. When not working on MOS projects, he is doing things with his active son, or spending a little time on the badminton court.

Julie Clements

Vice President of Operations

Julie joined MOS in March of 2008. She has some background in the healthcare staffing arena; as well as 6 years’ experience as Director of Sales and Marketing at a 4 star resort. She has proven capable across multiple product lines and in early 2011 was promoted to supervise all solutions managers. Julie is proving to be a key element in the continued growth of MOS with her outstanding customer relations and technical skills that she brings not only to clients but also to all solutions managers. She was instrumental in the creation of the medical record review division (and new website); and has especially grown this division along with data conversion of all kinds. Julie lives with her husband and three children in Eagle, St. Paul, Minnesota, where after a busy day with MOS, she changes hats to “soccer mom and coach.” Incidentally, she occasionally dons a uniform herself in a recreational league, after playing varsity soccer in high school.

SOLUTIONS MANAGERS

Jan Merrifield

Senior Solutions Manager: Transcription, Medical Record Review, Data Conversion

Jan joined the MOS team in early 2011, strengthening both our Marketing and Support. With a BS in Education, and then adding RN to her credentials, her experience ranges from surgical and home health RN to ownership of a medical equipment company. As a registered nurse consultant, Jan has the clinical experience and knowledge that helps her supervise the entire medical record review process flawlessly. She has a thorough understanding of the medical aspects involved in each case and exactly what is required to make sure that our clients benefit from the best service. Her expertise in customer service, marketing, and clinical knowledge along with her positive and bubbly personality, make her a welcome addition to the MOS team. Jan is a third generation OU grad and resides in Tulsa, OK. She is actively involved in non-profit agencies. Her sons, dancing, singing, and entertaining fill her with joy.

Cassidy Case

Solutions Manager

Cassidy joined MOS in July 2023. She graduated from Idaho State University in August 2021 with a Bachelors in Health Science and Associate of Applied Science as a Physical Therapy Assistant. Utilizing her experience with direct patient care, Cassidy strives to connect and effectively communicate with her clients. Cassidy currently resides in Pocatello, ID with her husband, son, and kitten Sylvie.

Philosophy and Values

Every business has challenges; and in order for any business to thrive, solutions must be found for these challenges. And, even though we like to think positive; “Murphy’s Law” seems to be continually lurking; in other words, there will always be challenges.

We, at MOS, fully understand this, and our business model is centered on SOLUTIONS; for us yes, but more importantly for our clients.

You have Challenges? We have Solutions.

What Do Our Clients Think Of Us?

★★★★★

"MOS is a cost-effective service for reviewing and summarizing medical records. Their friendly and professional staff consistently provide prompt, accurate and reliable medical record review services."

Jason Ruiz

★★★★★

"MOS has made my life a lot easier. They are very cost-effective and Jan and the team offer the best customer service. Their turn around time is quite impressive too. Thanks for being so professional."

Jenay Price

★★★★★

"We have been using Managed Outsource for a while now for our medical reviews. They are always quick to respond and to get the reviews done. Easy to talk to and to work with. It is our pleasure working with this company. I highly recommend them to any one."

Donna Howe