Stop Paying Per Case: Why PI Firms Are Moving to Prepaid Case Packages

If you run a personal injury practice, you already know the pain: every case requires a thorough medical record summary, and every summary costs money. A lot of money. Whether you outsource to a human-staffed vendor or use one of the newer AI-powered platforms, the per-case pricing model has become the industry default. And for firms processing more than a handful of cases per month, those costs compound into a line item that quietly devours profit margins.

This article breaks down exactly what the leading medical chronology and record summarization services charge, shows what those numbers look like at scale, and explains why a growing number of firms are moving to prepaid case packages: a set number of case reviews a month at a published, discounted price, each one signed by a person whose name is on the work.

The Current Per-Case Pricing Landscape

Let us start with the facts. Here is what the major medical record summarization providers charge as of early 2026:

These numbers may seem manageable in isolation. A single $300 EvenUp report feels reasonable when a case could settle for $50,000. But personal injury firms rarely handle one case at a time.

How Per-Case Costs Scale

Consider a mid-size PI firm handling 50 active cases per month. Here is what the annual spend looks like with each provider, assuming average-complexity cases:

At 100 cases per month, a firm using EvenUp is spending more than half a million dollars annually on record summaries and demand packages alone. Even the most cost-effective option in this group, Supio, runs $120,000 per year. These are not small numbers. They directly reduce what the firm takes home from every settlement.

The Hidden Problems with Per-Case Pricing

Beyond the raw dollar amounts, per-case pricing creates several operational problems that compound over time:

1. Disincentive to Use the Tool

When every case processed costs money, paralegals and attorneys start rationing. They skip summarization on smaller cases, or they delay processing until a case reaches a certain threshold. This means potential value—a missed treatment gap, an overlooked provider, a negligence pattern—goes undetected simply because someone made a cost-based triage decision.

2. Unpredictable Budgeting

Case volume fluctuates month to month. A good marketing month might bring in 30% more intakes than projected, and suddenly your record summarization budget is blown. With per-case pricing, your costs are directly correlated to your case volume, making annual budgeting an exercise in guesswork.

3. Price Escalation

Several firms have reported that their per-case costs with major vendors have increased over time. EvenUp, for example, has been known to raise its base pricing after the initial contract period. What starts at $300 per case can creep toward $500 or $800 as vendors introduce premium tiers and additional features that used to be included.

4. Vendor Lock-In

Once your workflow revolves around a per-case vendor, switching becomes painful. Your staff is trained on one interface, your templates are configured, and the vendor knows it. This leverage allows vendors to raise prices with relatively little pushback.

The Alternative: A Published Price and a Prepaid Package

The problem with per-case pricing was never that a case has a price. It is that the price is quoted rather than published, that it drifts upward at renewal, and that what it buys is a draft your staff still have to finish. CaseBridge answers all three. A Case Review is $695 for a file up to 1,500 pages or $895 up to 3,500, published on the pricing page and the same next month as this month. Firms that know their volume prepay a package: five case reviews a month for $4,125 ($825 a case, 8% off) or ten a month for $7,950 ($795 a case, 11% off). Each package case covers up to 3,500 pages, unused cases roll over one month, and package work comes back in three business days instead of five. Every case comes back as five deliverables signed by a named reviewer: a Case Summary, a page-cited Medical Chronology with specials ledger, a Merit Review, and a Demand Package made up of an editable demand letter and a medical billing summary. Matters over 3,500 pages, and firms that need twenty or more cases a month, are quoted.

Here is what a month looks like for a firm with ten new matters, compared on what each dollar actually buys:

On sticker, the package is not the cheapest row. It is the only row that buys a finished, signed set of deliverables, at a rate you can read on a web page before you commit. Add three to four paralegal hours at $100 an hour to every other row and the gap closes; add the merit review and the billing summary that none of the others produce and it closes further.

What a Package Includes

• A set number of case reviews a month at a discount: five for $4,125 ($825 a case) or ten for $7,950 ($795 a case), billed monthly in advance. Unused cases roll over one month.
• Up to 3,500 pages per case, published and itemized by matter for client billing. Larger matters are quoted before work begins.
• Five signed deliverables on every case: Case Summary, Medical Chronology with specials ledger, Merit Review, and the Demand Package (editable letter plus billing summary).
• A dedicated HIPAA enclave under a Business Associate Agreement with your firm, the client portal for your team, and three-business-day turnaround.

Who This Model Works Best For

A package is the right fit for:

• Firms with four to twelve new matters a month, where the per-case discount is worth committing for
• Firms without a dedicated records paralegal that want the work done and signed rather than another tool to staff
• Privacy-focused practices that want client files in a single-tenant enclave with a fixed retention schedule, not a shared cloud
• Growing firms that want next month's case cost to be the same as this month's

Firms with only a case or two a month do not need a package: a Case Review is $695 or $895 with no commitment. Firms that need twenty or more a month should call; that volume gets its own terms.

The Bottom Line

The per-case pricing model was designed to benefit vendors, not law firms. It ensures that as your practice grows, your costs grow with it, and it sells you a draft while your staff do the finishing. A published per-case price, or a prepaid package of them, changes what you are paying for: a known rate and work that arrives signed.

If you are currently spending $50,000 or more per year on medical record summaries, demand packages, or medical chronologies, it is worth doing the comparison on what each dollar buys. The numbers tend to speak for themselves.