How LezDo TechMed Helped Process 12,000 MDL Cases Before Trial Deadlines

The law firm consortium faced the demanding task of processing medical records for more than 12,000 plaintiffs, all within a strict 90-day timeframe. Before the upcoming bellwether trials, each plaintiff's case required extensive medical records to be reviewed, organized and converted into accurate medical chronologies.

The project became increasingly difficult because of several factors:

• High case volume: More than 12,000 plaintiff files had to be processed within a limited timeframe.

• Extensive medical documentation: Each plaintiff's file contained hundreds of pages of medical records, requiring careful review and analysis.

• Tight court deadlines: All medical chronologies had to be completed before bellwether trial deadlines, leaving little room for delays

• Consistency challenges: With thousands of cases under review, maintaining a uniform chronology format and consistent data extraction across every file became increasingly difficult

• Settlement preparation pressure: Accurate medical information was essential for categorizing plaintiffs into appropriate settlement tiers, making even minor documentation errors a potential concern  

To support one of the country's largest pharmaceutical MDL projects, LezDo TechMed implemented a structured medical record review process designed to handle thousands of plaintiff cases within the required project timeline. By combining experienced reviewers with standardized workflows and organized project oversight, consistent medical record reviews were delivered across the entire plaintiff population.

1. Dedicated Medical Record Review Team

LezDo TechMed assigned a team of 50 skilled medical reviewers to the project. The team was able to review thousands of plaintiff records simultaneously while maintaining consistent turnaround times and review quality throughout the project by allocating specialized resources to the engagement.  

2. Standardized Medical Chronology Templates

To maintain consistency across all plaintiff cases, standardized medical chronology templates were created before the review process began. Every medical chronology was prepared using a consistent structure, giving attorneys a straightforward way to review and compare case information. This made the chronologies easier for attorneys to analyze and compare during case evaluations, bellwether trial preparation and settlement planning.

3. Custom Data Extraction Protocol

To capture the medical information most relevant to the litigation, a customized data extraction protocol was implemented. Key clinical events, diagnoses, treatment history, medications and other case-specific details were consistently identified and reviewed by the reviewers. The process produced clear and standardized medical chronologies, making it easier to examine medical evidence across thousands of cases.

4. Centralized Case Management

A centralized platform brought all project information together, allowing the team to monitor case progress, quality reviews, and completed chronologies from a single location. While maintaining project information, this structured approach enhanced collaboration across review teams.  

5. Real-Time Performance Monitoring

Project managers used real-time analytics dashboards to monitor daily progress, spot workflow bottlenecks and redistribute reviewer workloads as project demands changed. Ongoing oversight of daily activities helped sustain a balanced workflow and supported timely completion of project milestones.

To manage the large volume of plaintiff records efficiently, LezDo TechMed implemented a systematic review process that guided each stage of the engagement, from record intake through the delivery of completed medical chronologies. Every stage was carefully coordinated to ensure consistency, transparency and timely completion across all plaintiff cases.

The execution process included:

Intake — Plaintiff medical records were received from the consortium and logged into the centralized system.

Organization — Before the review stage, medical records were systematically arranged and categorized for each plaintiff to streamline case processing.

Review & Extraction — After reviewing each plaintiff's medical records, the team compiled the relevant clinical history into a structured chronology that supported legal case assessment.

Chronology Creation — Extracted data was compiled into a standardized medical chronology for each plaintiff.

Quality Review — Every chronology passed through a quality check to confirm accuracy and consistency before release.

Submission — Approved medical chronologies were delivered through the centralized project platform, providing the legal team with timely access for ongoing case preparation.

LezDo TechMed enabled the law firm consortium to manage one of the largest pharmaceutical MDL documentation projects within the required litigation timeline by implementing a structured medical record review process. The project was completed with high accuracy, consistent quality, and seamless coordination across thousands of plaintiff cases.

Key Outcomes:

• The team processed more than 12,000 plaintiff cases within the required project timeline.

• The project was completed ahead of the 90-day court deadline in 85 days.

• Ensured a steady workflow throughout the engagement while maintaining a peak production of 150 cases per day

• Standardized medical chronologies and structured clinical data supported six settlement tiers.

• The team supported settlement planning valued at approximately $2.1 billion by providing organized medical documentation and litigation-ready case preparation.

Client Testimonial

Working with the team gave us confidence that every case was handled with care and consistency. Their ability to manage a large volume of medical records without affecting quality was invaluable to our litigation preparation.

— U.S.-Based Product Liability Law Firm

Conclusion

This project demonstrated that a well-planned medical record review strategy can effectively support large-scale pharmaceutical MDL litigation while maintaining accuracy, consistency and strict deadline compliance. By delivering consistent medical chronologies within demanding timelines, LezDo TechMed helped the law firm consortium maintain momentum throughout critical stages of case preparation.

Preparing for your next MDL or mass tort litigation? Find out how LezDo TechMed delivers litigation-ready medical record review services tailored to large-scale legal projects.