How healthcare legal teams use Justis AI

The problem

A legal notice or a consumer complaint alleges a sequence: delayed diagnosis, no consent, a missed referral, a discharge too early. The answer is in the case sheet, the nursing notes, the anaesthesia record and the discharge summary, much of it handwritten, and the treating team remembers it differently from how it was written.

Under the Consumer Protection Act 2019 the written version is due within thirty days of service, extendable by no more than fifteen, so there is little time to read the record twice.

How Justis handles it

Upload the complaint and the medical record. Justis reads both, runs OCR on the handwritten pages and tells you when it is doing so, then sets each allegation against what the record shows, with the page on each side.

It marks entries that are undated, overwritten or missing, which matter as much as what the record says, checks the forum's pecuniary jurisdiction and the limitation period, and drafts the written version in your format.

The problem

Each department has its own consent forms, some printed years ago, some translated by whoever was available. Consent is specific to the procedure consented to, and a form that says 'any further procedure the doctor considers necessary' does not protect the hospital when the further procedure is the one in dispute.

Nobody has read all of them side by side, and a gap is usually found by the claimant's lawyer first.

How Justis handles it

Tabular review reads every consent form in one pass and asks the same questions of each: the procedure named, risks and alternatives set out, language versions, the witness line, and blanket clauses. Each cell cites the page.

Justis then drafts a revised template for each department, in English and Hindi where you need both, and a short note for the clinical teams on what changed and why.

The problem

A hospital runs on registrations and clearances: the clinical establishment registration under the state Act, biomedical waste authorisation, the fire NOC, AERB licences for imaging, PC-PNDT registration, drug licences for the pharmacy and the blood centre licence. Each has its own renewal date and its own conditions.

They are scanned into different folders by different units, and the register that tracks them is a spreadsheet last updated before the new wing opened.

How Justis handles it

Upload the licences and tabular review returns a register: the licence, the unit, the authority, the expiry date and the conditions attached, with the document and page behind each row.

Justis flags what has lapsed or will lapse within the window you choose, lists the conditions a unit may not be meeting, and drafts the renewal cover letters for your team to file.

The problem

Visiting consultants are engaged on dozens of agreements: fixed retainers, fee-for-service, revenue shares. A share tied to referred diagnostics looks like a commission for referrals, which the professional conduct regulations for doctors prohibit, and an uncapped indemnity for clinical acts puts the hospital's balance sheet behind a doctor it does not employ.

The agreements were negotiated one at a time, and nobody knows how many carry which terms.

How Justis handles it

Your positions go into a playbook once: how compensation may be structured, who indemnifies whom and up to what cap, what insurance the doctor carries, and how patient data may be used. Every agreement is read against it, the offending clause is quoted back, and your position is already drafted.

Across the whole set, tabular review shows which agreements carry which terms, and the redlines arrive as tracked changes in Word.

The problem

A sponsor sends a clinical trial agreement drafted for another jurisdiction. The New Drugs and Clinical Trials Rules 2019 require free medical management for trial-related injury and compensation for injury or death as the Central Licensing Authority determines, and the draft caps the sponsor's liability, routes compensation through the site's insurance and says nothing about the ethics committee's registration.

The site signs as a party, and its liability for a sponsor's obligations is the question the legal team is asked to answer by Friday.

How Justis handles it

Justis reads the agreement, the protocol synopsis, the insurance certificate and the ethics committee approval together, and checks each obligation against the Rules: who pays for medical management and compensation, the ethics committee's registration, trial registration before enrolment, and the site's record retention duties.

It marks the clauses that shift a sponsor obligation to the site, drafts the redline and a short note for the investigator on what the site is agreeing to.

The problem

Procurement signs supply agreements for implants, consumables and equipment on the vendor's paper. Under the Medical Devices Rules 2017 every class of device now needs a licence to import or manufacture, and drugs move only through licensed wholesalers under the Drugs and Cosmetics Act. A vendor without the right licence leaves the hospital holding stock it should not have bought.

The agreements also rarely say who manages a recall, who bears the cost, or what happens to traceability records for implants.

How Justis handles it

Justis reads the agreement with the vendor's licences and checks that the licence covers the product, its class and the premises, and is current. It tests the agreement against your procurement playbook on recall, warranty, traceability, indemnity and liability caps.

It lists what to ask the vendor for before signing and drafts the redline in Word.

The problem

The IT team reports unauthorised access to the lab system. CERT-In's 2022 directions require the incident to be reported within six hours of noticing it, and the Digital Personal Data Protection Act 2023 and the Rules 2025 add intimation to the Data Protection Board and to each affected patient as their obligations come into force.

The facts arrive in pieces: a log export, a vendor's email, a count of records that changes every hour. Someone has to keep the timeline straight while it is still moving.

How Justis handles it

Justis builds the incident timeline from the documents as they land, marks the rule each step answers to and the time it was due, and says which obligations apply today and which apply once the DPDP Rules take effect.

It reads the vendor contract for notification and indemnity terms, drafts the reports and the patient notice for your team to review and send, and keeps the record of what was known when.

The problem

Cashless empanelment comes on the insurer's paper, and the hospital signs because the alternative is losing insured patients. The draft decides who pays for the bed while a discharge waits for approval, how long payment takes, how far back an audit can reach, and whether the hospital can be dropped from the network on a week's notice.

The terms are rarely read against the hospital's own positions or against what IRDAI already requires of the insurer, so the same concessions are made agreement after agreement.

How Justis handles it

Your positions go into a playbook once: payment days and interest, tariff revision, audit window and set-off, de-empanelment process, indemnity, patient data and disputes. Justis reads the draft against it and against IRDAI's Master Circular on Health Insurance Business, quotes each departing clause and marks it as a tracked change in Word, with a comment the insurer's network team can read.

It also lists what to ask for that the draft leaves out, and keeps the fallbacks you allow apart from the points that go to the CFO.

The problem

When a family asks for the records, the request often says why: they are thinking of a complaint. The hospital has to supply the copy within 72 hours under the professional conduct regulations for doctors, and it must supply the record as it stands, gaps included.

What the legal team needs before then is a list of what the record will show a claimant's lawyer: a consent signed after the incision, a transfusion with no consent, a discharge summary that contradicts the nursing notes.

How Justis handles it

Upload the in-patient file. Justis reads the consent forms, the anaesthesia and operation notes, the surgical safety checklist, the nursing and transfusion records and the discharge summary, sets the times and entries against each other, and lists every gap with the page on each side.

It drafts an internal note for the medical superintendent on the risks and a covering letter to release the records, and it never suggests changing an entry: the record goes out as it is.

The problem

The registration form most hospitals use was printed years ago: one pre-ticked box for treatment, sharing with partners and promotional SMS, in English only, signed by whoever brings the patient. The Digital Personal Data Protection Act 2023 asks for an itemised notice, consent that is free and specific, withdrawable at any time, offered in English or a language of the Eighth Schedule, and verifiable consent of a parent for a child.

The facts sit with IT and the records department: what is collected, who it goes to, how long it is kept. Someone has to turn that into a notice patients can read at the counter.

How Justis handles it

Upload the data inventory and the current form. Justis reads both, marks what the Act and the DPDP Rules 2025 require that the form does not do, and drafts the privacy notice and a revised consent block in English and Hindi, with treatment consent kept apart from marketing.

It lists the processor contracts that need data terms and answers the team's questions with the section for each, saying which duties apply today and which apply when the Rules' phased dates arrive.

The problem

Renewing the biomedical waste authorisation means Form II under rule 10 of the Bio-Medical Waste Management Rules 2016, and the answers come from four people: the infection control officer's waste figures, the facilities manager's equipment list, the consents in the legal file and the bed count.

The figures arrive per month while the form asks per day, the checklist says every consent is valid when one has lapsed, and a show cause notice from the last cycle is filed under 'remarks' though the form asks for it.

How Justis handles it

Upload the blank Form II in Word and the data sheet. Justis fills every item from the data, converts the quantities to kg per day and shows the arithmetic, and marks each answer it could not take from the documents.

Before the form is signed it lists what does not agree: figures that conflict with other registrations, consents that are not what the checklist says, and disclosures the form requires. Filing stays with your team.

The problem

The CT, MRI, cath lab and ventilators each run on a maintenance contract signed by Purchase or Biomedical Engineering. They differ on what matters: when they end and whether they renew themselves, what uptime is promised and what happens when it is missed, who runs the AERB quality assurance tests and the calibrations, and what the vendor may do with images it reaches remotely.

Nobody holds them side by side, so an automatic renewal at a higher price, a helium refill billed outside the contract or a missing calibration certificate is found when the invoice or the surveyor arrives.

How Justis handles it

Tabular review asks the same questions of every contract and returns a grid with a cited cell for each answer: term and renewal, uptime and remedy, exclusions, regulatory duties, remote access and patient data, price and escalation.

Justis then lists the notice dates to diary, the clauses to renegotiate at renewal, and the contracts that let a vendor take patient images without data terms.