{ "summary": { "detection": { "over_limit": { "planted": 98, "caught": 87, "false_flags": 0 }, "lapsed_policy": { "planted": 105, "caught": 105, "false_flags": 0 }, "inflated_estimate": { "planted": 107, "caught": 95, "false_flags": 0 }, "duplicate_claim": { "planted": 127, "caught": 125, "false_flags": 0 }, "missing_estimate": { "planted": 105, "caught": 105, "false_flags": 0 } }, "statuses": { "decided": 370, "awaiting_approval": 518, "stopped_review_loop": 12 }, "median_dollars": 0.0003702, "max_dollars": 0.000837, "replay_equal": true }, "limits": { "max_steps": 10, "max_send_backs": 2, "max_tokens": 9000, "max_dollars": 0.002, "price_in": 1.5e-07, "price_out": 6e-07 }, "claims": [ { "id": "CLM-0000", "documents": { "fnol": "First notice of loss. Policy POL-330318. Vehicle E81 XLT. Date of loss 2025-09-13. The insured reports a rear-end collision at a junction; damage to the alloy wheel.", "policy": "Policy POL-330318. Cover: comprehensive. Start 2025-02-06. End 2026-06-06. Limit 2300.00. Excess 250.00.", "estimate": "Repair estimate for E81 XLT.\nPart: alloy wheel 220.60\nLabour: 2.6 hours at 57.06\nTotal: 548.96" }, "prior_claims": [ { "policy": "POL-330318", "date": "2025-09-13", "parts": [ "alloy wheel" ] } ], "planted": [ "duplicate_claim" ], "steps": [ { "claim": "CLM-0000", "step": 0, "node": "extractor", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": null, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 0, "dollars": 0.0 }, "path": [] }, { "claim": "CLM-0000", "step": 1, "node": "investigator", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": { "policy": "POL-330318", "vehicle": "E81 XLT", "loss_date": "2025-09-13", "policy_start": "2025-02-06", "policy_end": "2026-06-06", "limit": 2300.0, "excess": 250.0, "parts": [ [ "alloy wheel", 220.6 ] ], "labour_hours": 2.6, "labour_rate": 57.06, "total": 548.96, "missing": [] }, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 520, "dollars": 0.0001086 }, "path": [ "extractor" ] }, { "claim": "CLM-0000", "step": 2, "node": "reviewer", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-330318", "vehicle": "E81 XLT", "loss_date": "2025-09-13", "policy_start": "2025-02-06", "policy_end": "2026-06-06", "limit": 2300.0, "excess": 250.0, "parts": [ [ "alloy wheel", 220.6 ] ], "labour_hours": 2.6, "labour_rate": 57.06, "total": 548.96, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing" ] }, "review": null, "recommendation": null, "cost": { "tokens": 968, "dollars": 0.0001893 }, "path": [ "extractor", "investigator" ] }, { "claim": "CLM-0000", "step": 3, "node": "extractor", "status": "running", "strict": true, "lookups": 1, "send_backs": 1, "extracted": { "policy": "POL-330318", "vehicle": "E81 XLT", "loss_date": "2025-09-13", "policy_start": "2025-02-06", "policy_end": "2026-06-06", "limit": 2300.0, "excess": 250.0, "parts": [ [ "alloy wheel", 220.6 ] ], "labour_hours": 2.6, "labour_rate": 57.06, "total": 548.96, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing" ] }, "review": { "ok": false, "send_back_to": "extractor", "reasons": [ "estimate lines add up to 368.96, stated total 548.96" ] }, "recommendation": null, "cost": { "tokens": 1445, "dollars": 0.000273 }, "path": [ "extractor", "investigator", "reviewer" ] }, { "claim": "CLM-0000", "step": 4, "node": "investigator", "status": "running", "strict": true, "lookups": 1, "send_backs": 1, "extracted": { "policy": "POL-330318", "vehicle": "E81 XLT", "loss_date": "2025-09-13", "policy_start": "2025-02-06", "policy_end": "2026-06-06", "limit": 2300.0, "excess": 250.0, "parts": [ [ "alloy wheel", 220.6 ] ], "labour_hours": 2.6, "labour_rate": 57.06, "total": 368.96, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing" ] }, "review": { "ok": false, "send_back_to": "extractor", "reasons": [ "estimate lines add up to 368.96, stated total 548.96" ] }, "recommendation": null, "cost": { "tokens": 1965, "dollars": 0.0003816 }, "path": [ "extractor", "investigator", "reviewer", "extractor" ] }, { "claim": "CLM-0000", "step": 5, "node": "reviewer", "status": "running", "strict": true, "lookups": 2, "send_backs": 1, "extracted": { "policy": "POL-330318", "vehicle": "E81 XLT", "loss_date": "2025-09-13", "policy_start": "2025-02-06", "policy_end": "2026-06-06", "limit": 2300.0, "excess": 250.0, "parts": [ [ "alloy wheel", 220.6 ] ], "labour_hours": 2.6, "labour_rate": 57.06, "total": 368.96, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": true, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": false, "send_back_to": "extractor", "reasons": [ "estimate lines add up to 368.96, stated total 548.96" ] }, "recommendation": null, "cost": { "tokens": 2416, "dollars": 0.0004641 }, "path": [ "extractor", "investigator", "reviewer", "extractor", "investigator" ] }, { "claim": "CLM-0000", "step": 6, "node": "recommend", "status": "running", "strict": true, "lookups": 2, "send_backs": 1, "extracted": { "policy": "POL-330318", "vehicle": "E81 XLT", "loss_date": "2025-09-13", "policy_start": "2025-02-06", "policy_end": "2026-06-06", "limit": 2300.0, "excess": 250.0, "parts": [ [ "alloy wheel", 220.6 ] ], "labour_hours": 2.6, "labour_rate": 57.06, "total": 368.96, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": true, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": null, "cost": { "tokens": 2880, "dollars": 0.00053865 }, "path": [ "extractor", "investigator", "reviewer", "extractor", "investigator", "reviewer" ] }, { "claim": "CLM-0000", "step": 7, "node": "recommend", "status": "decided", "strict": true, "lookups": 2, "send_backs": 1, "extracted": { "policy": "POL-330318", "vehicle": "E81 XLT", "loss_date": "2025-09-13", "policy_start": "2025-02-06", "policy_end": "2026-06-06", "limit": 2300.0, "excess": 250.0, "parts": [ [ "alloy wheel", 220.6 ] ], "labour_hours": 2.6, "labour_rate": 57.06, "total": 368.96, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": true, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": { "decision": "refer", "payout": 0.0, "reasons": [ "a prior claim on this policy has the same date of loss" ] }, "cost": { "tokens": 3359, "dollars": 0.0006222 }, "path": [ "extractor", "investigator", "reviewer", "extractor", "investigator", "reviewer", "recommend" ] } ] }, { "id": "CLM-0001", "documents": { "fnol": "First notice of loss. Policy POL-216616. Vehicle G75 XKS. Date of loss 2025-09-10. The insured reports a rear-end collision at a junction; damage to the front bumper, tail lamp.", "policy": "Policy POL-216616. Cover: comprehensive. Start 2025-04-28. End 2026-09-28. Limit 4300.00. Excess 250.00.", "estimate": "Repair estimate for G75 XKS.\nPart: front bumper 465.42\nPart: tail lamp 156.41\nLabour: 3.2 hours at 57.64\nTotal: 806.28" }, "prior_claims": [ { "policy": "POL-216616", "date": "2024-06-17", "parts": [ "wing mirror" ] } ], "planted": [], "steps": [ { "claim": "CLM-0001", "step": 0, "node": "extractor", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": null, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 0, "dollars": 0.0 }, "path": [] }, { "claim": "CLM-0001", "step": 1, "node": "investigator", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": { "policy": "POL-216616", "vehicle": "G75 XKS", "loss_date": "2025-09-10", "policy_start": "2025-04-28", "policy_end": "2026-09-28", "limit": 4300.0, "excess": 250.0, "parts": [ [ "front bumper", 465.42 ], [ "tail lamp", 156.41 ] ], "labour_hours": 3.2, "labour_rate": 57.64, "total": 806.28, "missing": [] }, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 536, "dollars": 0.00011415 }, "path": [ "extractor" ] }, { "claim": "CLM-0001", "step": 2, "node": "reviewer", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-216616", "vehicle": "G75 XKS", "loss_date": "2025-09-10", "policy_start": "2025-04-28", "policy_end": "2026-09-28", "limit": 4300.0, "excess": 250.0, "parts": [ [ "front bumper", 465.42 ], [ "tail lamp", 156.41 ] ], "labour_hours": 3.2, "labour_rate": 57.64, "total": 806.28, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": null, "recommendation": null, "cost": { "tokens": 994, "dollars": 0.0001977 }, "path": [ "extractor", "investigator" ] }, { "claim": "CLM-0001", "step": 3, "node": "recommend", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-216616", "vehicle": "G75 XKS", "loss_date": "2025-09-10", "policy_start": "2025-04-28", "policy_end": "2026-09-28", "limit": 4300.0, "excess": 250.0, "parts": [ [ "front bumper", 465.42 ], [ "tail lamp", 156.41 ] ], "labour_hours": 3.2, "labour_rate": 57.64, "total": 806.28, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": null, "cost": { "tokens": 1464, "dollars": 0.00027315 }, "path": [ "extractor", "investigator", "reviewer" ] }, { "claim": "CLM-0001", "step": 4, "node": "recommend", "status": "awaiting_approval", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-216616", "vehicle": "G75 XKS", "loss_date": "2025-09-10", "policy_start": "2025-04-28", "policy_end": "2026-09-28", "limit": 4300.0, "excess": 250.0, "parts": [ [ "front bumper", 465.42 ], [ "tail lamp", 156.41 ] ], "labour_hours": 3.2, "labour_rate": 57.64, "total": 806.28, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": { "decision": "approve", "payout": 556.28, "reasons": [ "covered, priced in line, no duplicate" ] }, "cost": { "tokens": 1946, "dollars": 0.0003558 }, "path": [ "extractor", "investigator", "reviewer", "recommend" ] } ] }, { "id": "CLM-0002", "documents": { "fnol": "First notice of loss. Policy POL-683784. Vehicle F10 XLP. Date of loss 2025-08-09. The insured reports a low-speed impact in a car park; damage to the alloy wheel, bonnet, door panel.", "policy": "Policy POL-683784. Cover: comprehensive. Start 2025-03-10. End 2025-02-10. Limit 8100.00. Excess 250.00.", "estimate": "Repair estimate for F10 XLP.\nPart: alloy wheel 225.33\nPart: bonnet 529.73\nPart: door panel 467.15\nLabour: 8.3 hours at 67.65\nTotal: 1783.71" }, "prior_claims": [ { "policy": "POL-683784", "date": "2024-03-14", "parts": [ "wing mirror" ] } ], "planted": [ "lapsed_policy" ], "steps": [ { "claim": "CLM-0002", "step": 0, "node": "extractor", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": null, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 0, "dollars": 0.0 }, "path": [] }, { "claim": "CLM-0002", "step": 1, "node": "investigator", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": { "policy": "POL-683784", "vehicle": "F10 XLP", "loss_date": "2025-08-09", "policy_start": "2025-03-10", "policy_end": "2025-02-10", "limit": 8100.0, "excess": 250.0, "parts": [ [ "alloy wheel", 225.33 ], [ "bonnet", 529.73 ], [ "door panel", 467.15 ] ], "labour_hours": 8.3, "labour_rate": 67.65, "total": 1783.71, "missing": [] }, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 548, "dollars": 0.0001182 }, "path": [ "extractor" ] }, { "claim": "CLM-0002", "step": 2, "node": "reviewer", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-683784", "vehicle": "F10 XLP", "loss_date": "2025-08-09", "policy_start": "2025-03-10", "policy_end": "2025-02-10", "limit": 8100.0, "excess": 250.0, "parts": [ [ "alloy wheel", 225.33 ], [ "bonnet", 529.73 ], [ "door panel", 467.15 ] ], "labour_hours": 8.3, "labour_rate": 67.65, "total": 1783.71, "missing": [] }, "findings": { "covered": false, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing" ] }, "review": null, "recommendation": null, "cost": { "tokens": 1008, "dollars": 0.0002007 }, "path": [ "extractor", "investigator" ] }, { "claim": "CLM-0002", "step": 3, "node": "investigator", "status": "running", "strict": false, "lookups": 1, "send_backs": 1, "extracted": { "policy": "POL-683784", "vehicle": "F10 XLP", "loss_date": "2025-08-09", "policy_start": "2025-03-10", "policy_end": "2025-02-10", "limit": 8100.0, "excess": 250.0, "parts": [ [ "alloy wheel", 225.33 ], [ "bonnet", 529.73 ], [ "door panel", 467.15 ] ], "labour_hours": 8.3, "labour_rate": 67.65, "total": 1783.71, "missing": [] }, "findings": { "covered": false, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing" ] }, "review": { "ok": false, "send_back_to": "investigator", "reasons": [ "prior-claims check did not run" ] }, "recommendation": null, "cost": { "tokens": 1493, "dollars": 0.0002838 }, "path": [ "extractor", "investigator", "reviewer" ] }, { "claim": "CLM-0002", "step": 4, "node": "reviewer", "status": "running", "strict": false, "lookups": 2, "send_backs": 1, "extracted": { "policy": "POL-683784", "vehicle": "F10 XLP", "loss_date": "2025-08-09", "policy_start": "2025-03-10", "policy_end": "2025-02-10", "limit": 8100.0, "excess": 250.0, "parts": [ [ "alloy wheel", 225.33 ], [ "bonnet", 529.73 ], [ "door panel", 467.15 ] ], "labour_hours": 8.3, "labour_rate": 67.65, "total": 1783.71, "missing": [] }, "findings": { "covered": false, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": false, "send_back_to": "investigator", "reasons": [ "prior-claims check did not run" ] }, "recommendation": null, "cost": { "tokens": 1957, "dollars": 0.0003687 }, "path": [ "extractor", "investigator", "reviewer", "investigator" ] }, { "claim": "CLM-0002", "step": 5, "node": "recommend", "status": "running", "strict": false, "lookups": 2, "send_backs": 1, "extracted": { "policy": "POL-683784", "vehicle": "F10 XLP", "loss_date": "2025-08-09", "policy_start": "2025-03-10", "policy_end": "2025-02-10", "limit": 8100.0, "excess": 250.0, "parts": [ [ "alloy wheel", 225.33 ], [ "bonnet", 529.73 ], [ "door panel", 467.15 ] ], "labour_hours": 8.3, "labour_rate": 67.65, "total": 1783.71, "missing": [] }, "findings": { "covered": false, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": null, "cost": { "tokens": 2433, "dollars": 0.00044505 }, "path": [ "extractor", "investigator", "reviewer", "investigator", "reviewer" ] }, { "claim": "CLM-0002", "step": 6, "node": "recommend", "status": "decided", "strict": false, "lookups": 2, "send_backs": 1, "extracted": { "policy": "POL-683784", "vehicle": "F10 XLP", "loss_date": "2025-08-09", "policy_start": "2025-03-10", "policy_end": "2025-02-10", "limit": 8100.0, "excess": 250.0, "parts": [ [ "alloy wheel", 225.33 ], [ "bonnet", 529.73 ], [ "door panel", 467.15 ] ], "labour_hours": 8.3, "labour_rate": 67.65, "total": 1783.71, "missing": [] }, "findings": { "covered": false, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": { "decision": "deny", "payout": 0.0, "reasons": [ "loss on 2025-08-09 is outside the policy (2025-03-10 to 2025-02-10)" ] }, "cost": { "tokens": 2927, "dollars": 0.0005322 }, "path": [ "extractor", "investigator", "reviewer", "investigator", "reviewer", "recommend" ] } ] }, { "id": "CLM-0003", "documents": { "fnol": "First notice of loss. Policy POL-506643. Vehicle B25 ZLS. Date of loss 2025-08-14. The insured reports a rear-end collision at a junction; damage to the door panel, front bumper, radiator.", "policy": "Policy POL-506643. Cover: comprehensive. Start 2025-04-26. End 2026-12-26. Limit 8400.00. Excess 250.00.", "estimate": "Repair estimate for B25 ZLS.\nPart: door panel 560.74\nPart: front bumper 480.13\nPart: radiator 311.02\nLabour: 4.0 hours at 68.17\nTotal: 1624.57" }, "prior_claims": [], "planted": [], "steps": [ { "claim": "CLM-0003", "step": 0, "node": "extractor", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": null, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 0, "dollars": 0.0 }, "path": [] }, { "claim": "CLM-0003", "step": 1, "node": "investigator", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": { "policy": "POL-506643", "vehicle": "B25 ZLS", "loss_date": "2025-08-14", "policy_start": "2025-04-26", "policy_end": "2026-12-26", "limit": 8400.0, "excess": 250.0, "parts": [ [ "door panel", 560.74 ], [ "front bumper", 480.13 ], [ "radiator", 311.02 ] ], "labour_hours": 4.0, "labour_rate": 68.17, "total": 1624.57, "missing": [] }, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 551, "dollars": 0.0001191 }, "path": [ "extractor" ] }, { "claim": "CLM-0003", "step": 2, "node": "reviewer", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-506643", "vehicle": "B25 ZLS", "loss_date": "2025-08-14", "policy_start": "2025-04-26", "policy_end": "2026-12-26", "limit": 8400.0, "excess": 250.0, "parts": [ [ "door panel", 560.74 ], [ "front bumper", 480.13 ], [ "radiator", 311.02 ] ], "labour_hours": 4.0, "labour_rate": 68.17, "total": 1624.57, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": null, "recommendation": null, "cost": { "tokens": 1015, "dollars": 0.00020355 }, "path": [ "extractor", "investigator" ] }, { "claim": "CLM-0003", "step": 3, "node": "recommend", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-506643", "vehicle": "B25 ZLS", "loss_date": "2025-08-14", "policy_start": "2025-04-26", "policy_end": "2026-12-26", "limit": 8400.0, "excess": 250.0, "parts": [ [ "door panel", 560.74 ], [ "front bumper", 480.13 ], [ "radiator", 311.02 ] ], "labour_hours": 4.0, "labour_rate": 68.17, "total": 1624.57, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": null, "cost": { "tokens": 1491, "dollars": 0.0002799 }, "path": [ "extractor", "investigator", "reviewer" ] }, { "claim": "CLM-0003", "step": 4, "node": "recommend", "status": "awaiting_approval", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-506643", "vehicle": "B25 ZLS", "loss_date": "2025-08-14", "policy_start": "2025-04-26", "policy_end": "2026-12-26", "limit": 8400.0, "excess": 250.0, "parts": [ [ "door panel", 560.74 ], [ "front bumper", 480.13 ], [ "radiator", 311.02 ] ], "labour_hours": 4.0, "labour_rate": 68.17, "total": 1624.57, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": { "decision": "approve", "payout": 1374.57, "reasons": [ "covered, priced in line, no duplicate" ] }, "cost": { "tokens": 1980, "dollars": 0.00036405 }, "path": [ "extractor", "investigator", "reviewer", "recommend" ] } ] }, { "id": "CLM-0004", "documents": { "fnol": "First notice of loss. Policy POL-122001. Vehicle H62 ZNS. Date of loss 2025-07-19. The insured reports a low-speed impact in a car park; damage to the windscreen, bonnet, radiator, headlamp.", "policy": "Policy POL-122001. Cover: comprehensive. Start 2025-04-28. End 2026-10-28. Limit 7700.00. Excess 250.00.", "estimate": "Repair estimate for H62 ZNS.\nPart: windscreen 349.81\nPart: bonnet 574.46\nPart: radiator 274.10\nPart: headlamp 281.05\nLabour: 5.3 hours at 63.24\nTotal: 1904.59" }, "prior_claims": [], "planted": [], "steps": [ { "claim": "CLM-0004", "step": 0, "node": "extractor", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": null, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 0, "dollars": 0.0 }, "path": [] }, { "claim": "CLM-0004", "step": 1, "node": "investigator", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": { "policy": "POL-122001", "vehicle": "H62 ZNS", "loss_date": "2025-07-19", "policy_start": "2025-04-28", "policy_end": "2026-10-28", "limit": 7700.0, "excess": 250.0, "parts": [ [ "windscreen", 349.81 ], [ "bonnet", 574.46 ], [ "radiator", 274.1 ], [ "headlamp", 281.05 ] ], "labour_hours": 5.3, "labour_rate": 63.24, "total": 1904.59, "missing": [] }, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 559, "dollars": 0.00012165 }, "path": [ "extractor" ] }, { "claim": "CLM-0004", "step": 2, "node": "reviewer", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-122001", "vehicle": "H62 ZNS", "loss_date": "2025-07-19", "policy_start": "2025-04-28", "policy_end": "2026-10-28", "limit": 7700.0, "excess": 250.0, "parts": [ [ "windscreen", 349.81 ], [ "bonnet", 574.46 ], [ "radiator", 274.1 ], [ "headlamp", 281.05 ] ], "labour_hours": 5.3, "labour_rate": 63.24, "total": 1904.59, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": null, "recommendation": null, "cost": { "tokens": 1026, "dollars": 0.00020655 }, "path": [ "extractor", "investigator" ] }, { "claim": "CLM-0004", "step": 3, "node": "extractor", "status": "running", "strict": true, "lookups": 1, "send_backs": 1, "extracted": { "policy": "POL-122001", "vehicle": "H62 ZNS", "loss_date": "2025-07-19", "policy_start": "2025-04-28", "policy_end": "2026-10-28", "limit": 7700.0, "excess": 250.0, "parts": [ [ "windscreen", 349.81 ], [ "bonnet", 574.46 ], [ "radiator", 274.1 ], [ "headlamp", 281.05 ] ], "labour_hours": 5.3, "labour_rate": 63.24, "total": 1904.59, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": false, "send_back_to": "extractor", "reasons": [ "estimate lines add up to 1814.59, stated total 1904.59" ] }, "recommendation": null, "cost": { "tokens": 1523, "dollars": 0.0002937 }, "path": [ "extractor", "investigator", "reviewer" ] }, { "claim": "CLM-0004", "step": 4, "node": "investigator", "status": "running", "strict": true, "lookups": 1, "send_backs": 1, "extracted": { "policy": "POL-122001", "vehicle": "H62 ZNS", "loss_date": "2025-07-19", "policy_start": "2025-04-28", "policy_end": "2026-10-28", "limit": 7700.0, "excess": 250.0, "parts": [ [ "windscreen", 349.81 ], [ "bonnet", 574.46 ], [ "radiator", 274.1 ], [ "headlamp", 281.05 ] ], "labour_hours": 5.3, "labour_rate": 63.24, "total": 1814.59, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": false, "send_back_to": "extractor", "reasons": [ "estimate lines add up to 1814.59, stated total 1904.59" ] }, "recommendation": null, "cost": { "tokens": 2082, "dollars": 0.00041535 }, "path": [ "extractor", "investigator", "reviewer", "extractor" ] }, { "claim": "CLM-0004", "step": 5, "node": "reviewer", "status": "running", "strict": true, "lookups": 2, "send_backs": 1, "extracted": { "policy": "POL-122001", "vehicle": "H62 ZNS", "loss_date": "2025-07-19", "policy_start": "2025-04-28", "policy_end": "2026-10-28", "limit": 7700.0, "excess": 250.0, "parts": [ [ "windscreen", 349.81 ], [ "bonnet", 574.46 ], [ "radiator", 274.1 ], [ "headlamp", 281.05 ] ], "labour_hours": 5.3, "labour_rate": 63.24, "total": 1814.59, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": false, "send_back_to": "extractor", "reasons": [ "estimate lines add up to 1814.59, stated total 1904.59" ] }, "recommendation": null, "cost": { "tokens": 2549, "dollars": 0.00050025 }, "path": [ "extractor", "investigator", "reviewer", "extractor", "investigator" ] }, { "claim": "CLM-0004", "step": 6, "node": "recommend", "status": "running", "strict": true, "lookups": 2, "send_backs": 1, "extracted": { "policy": "POL-122001", "vehicle": "H62 ZNS", "loss_date": "2025-07-19", "policy_start": "2025-04-28", "policy_end": "2026-10-28", "limit": 7700.0, "excess": 250.0, "parts": [ [ "windscreen", 349.81 ], [ "bonnet", 574.46 ], [ "radiator", 274.1 ], [ "headlamp", 281.05 ] ], "labour_hours": 5.3, "labour_rate": 63.24, "total": 1814.59, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": null, "cost": { "tokens": 3029, "dollars": 0.0005772 }, "path": [ "extractor", "investigator", "reviewer", "extractor", "investigator", "reviewer" ] }, { "claim": "CLM-0004", "step": 7, "node": "recommend", "status": "awaiting_approval", "strict": true, "lookups": 2, "send_backs": 1, "extracted": { "policy": "POL-122001", "vehicle": "H62 ZNS", "loss_date": "2025-07-19", "policy_start": "2025-04-28", "policy_end": "2026-10-28", "limit": 7700.0, "excess": 250.0, "parts": [ [ "windscreen", 349.81 ], [ "bonnet", 574.46 ], [ "radiator", 274.1 ], [ "headlamp", 281.05 ] ], "labour_hours": 5.3, "labour_rate": 63.24, "total": 1814.59, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": { "decision": "approve", "payout": 1564.59, "reasons": [ "covered, priced in line, no duplicate" ] }, "cost": { "tokens": 3522, "dollars": 0.00066195 }, "path": [ "extractor", "investigator", "reviewer", "extractor", "investigator", "reviewer", "recommend" ] } ] }, { "id": "CLM-0005", "documents": { "fnol": "First notice of loss. Policy POL-329156. Vehicle A51 YMT. Date of loss 2025-09-20. The insured reports a collision with a bollard; damage to the wing mirror, headlamp.", "policy": "Policy POL-329156. Cover: comprehensive. Start 2025-01-03. End 2025-01-03. Limit 6000.00. Excess 250.00.", "estimate": "Repair estimate for A51 YMT.\nPart: wing mirror 169.24\nPart: headlamp 278.35\nLabour: 6.9 hours at 60.83\nTotal: 867.32" }, "prior_claims": [ { "policy": "POL-329156", "date": "2024-03-12", "parts": [ "tail lamp" ] } ], "planted": [ "lapsed_policy" ], "steps": [ { "claim": "CLM-0005", "step": 0, "node": "extractor", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": null, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 0, "dollars": 0.0 }, "path": [] }, { "claim": "CLM-0005", "step": 1, "node": "investigator", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": { "policy": "POL-329156", "vehicle": "A51 YMT", "loss_date": "2025-09-20", "policy_start": "2025-01-03", "policy_end": "2025-01-03", "limit": 6000.0, "excess": 250.0, "parts": [ [ "wing mirror", 169.24 ], [ "headlamp", 278.35 ] ], "labour_hours": 6.9, "labour_rate": 60.83, "total": 867.32, "missing": [] }, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 532, "dollars": 0.0001131 }, "path": [ "extractor" ] }, { "claim": "CLM-0005", "step": 2, "node": "reviewer", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-329156", "vehicle": "A51 YMT", "loss_date": "2025-09-20", "policy_start": "2025-01-03", "policy_end": "2025-01-03", "limit": 6000.0, "excess": 250.0, "parts": [ [ "wing mirror", 169.24 ], [ "headlamp", 278.35 ] ], "labour_hours": 6.9, "labour_rate": 60.83, "total": 867.32, "missing": [] }, "findings": { "covered": false, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": null, "recommendation": null, "cost": { "tokens": 990, "dollars": 0.0001971 }, "path": [ "extractor", "investigator" ] }, { "claim": "CLM-0005", "step": 3, "node": "recommend", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-329156", "vehicle": "A51 YMT", "loss_date": "2025-09-20", "policy_start": "2025-01-03", "policy_end": "2025-01-03", "limit": 6000.0, "excess": 250.0, "parts": [ [ "wing mirror", 169.24 ], [ "headlamp", 278.35 ] ], "labour_hours": 6.9, "labour_rate": 60.83, "total": 867.32, "missing": [] }, "findings": { "covered": false, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": null, "cost": { "tokens": 1460, "dollars": 0.00027255 }, "path": [ "extractor", "investigator", "reviewer" ] }, { "claim": "CLM-0005", "step": 4, "node": "recommend", "status": "decided", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-329156", "vehicle": "A51 YMT", "loss_date": "2025-09-20", "policy_start": "2025-01-03", "policy_end": "2025-01-03", "limit": 6000.0, "excess": 250.0, "parts": [ [ "wing mirror", 169.24 ], [ "headlamp", 278.35 ] ], "labour_hours": 6.9, "labour_rate": 60.83, "total": 867.32, "missing": [] }, "findings": { "covered": false, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": { "decision": "deny", "payout": 0.0, "reasons": [ "loss on 2025-09-20 is outside the policy (2025-01-03 to 2025-01-03)" ] }, "cost": { "tokens": 1948, "dollars": 0.0003588 }, "path": [ "extractor", "investigator", "reviewer", "recommend" ] } ] }, { "id": "CLM-0006", "documents": { "fnol": "First notice of loss. Policy POL-168058. Vehicle E98 XMT. Date of loss 2025-09-13. The insured reports a collision with a bollard; damage to the wing mirror, headlamp, front bumper, alloy wheel.", "policy": "Policy POL-168058. Cover: comprehensive. Start 2025-01-22. End 2026-12-22. Limit 5200.00. Excess 250.00.", "estimate": "Repair estimate for E98 XMT.\nPart: wing mirror 186.22\nPart: headlamp 311.07\nPart: front bumper 475.08\nPart: alloy wheel 259.78\nLabour: 6.0 hours at 55.91\nTotal: 1747.61" }, "prior_claims": [], "planted": [], "steps": [ { "claim": "CLM-0006", "step": 0, "node": "extractor", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": null, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 0, "dollars": 0.0 }, "path": [] }, { "claim": "CLM-0006", "step": 1, "node": "investigator", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": { "policy": "POL-168058", "vehicle": "E98 XMT", "loss_date": "2025-09-13", "policy_start": "2025-01-22", "policy_end": "2026-12-22", "limit": 5200.0, "excess": 250.0, "parts": [ [ "wing mirror", 186.22 ], [ "headlamp", 311.07 ], [ "front bumper", 475.08 ], [ "alloy wheel", 259.78 ] ], "labour_hours": 6.0, "labour_rate": 55.91, "total": 1747.61, "missing": [] }, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 565, "dollars": 0.0001239 }, "path": [ "extractor" ] }, { "claim": "CLM-0006", "step": 2, "node": "reviewer", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-168058", "vehicle": "E98 XMT", "loss_date": "2025-09-13", "policy_start": "2025-01-22", "policy_end": "2026-12-22", "limit": 5200.0, "excess": 250.0, "parts": [ [ "wing mirror", 186.22 ], [ "headlamp", 311.07 ], [ "front bumper", 475.08 ], [ "alloy wheel", 259.78 ] ], "labour_hours": 6.0, "labour_rate": 55.91, "total": 1747.61, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing" ] }, "review": null, "recommendation": null, "cost": { "tokens": 1032, "dollars": 0.00020745 }, "path": [ "extractor", "investigator" ] }, { "claim": "CLM-0006", "step": 3, "node": "extractor", "status": "running", "strict": true, "lookups": 1, "send_backs": 1, "extracted": { "policy": "POL-168058", "vehicle": "E98 XMT", "loss_date": "2025-09-13", "policy_start": "2025-01-22", "policy_end": "2026-12-22", "limit": 5200.0, "excess": 250.0, "parts": [ [ "wing mirror", 186.22 ], [ "headlamp", 311.07 ], [ "front bumper", 475.08 ], [ "alloy wheel", 259.78 ] ], "labour_hours": 6.0, "labour_rate": 55.91, "total": 1747.61, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing" ] }, "review": { "ok": false, "send_back_to": "extractor", "reasons": [ "estimate lines add up to 1567.61, stated total 1747.61" ] }, "recommendation": null, "cost": { "tokens": 1529, "dollars": 0.0002946 }, "path": [ "extractor", "investigator", "reviewer" ] }, { "claim": "CLM-0006", "step": 4, "node": "investigator", "status": "running", "strict": true, "lookups": 1, "send_backs": 1, "extracted": { "policy": "POL-168058", "vehicle": "E98 XMT", "loss_date": "2025-09-13", "policy_start": "2025-01-22", "policy_end": "2026-12-22", "limit": 5200.0, "excess": 250.0, "parts": [ [ "wing mirror", 186.22 ], [ "headlamp", 311.07 ], [ "front bumper", 475.08 ], [ "alloy wheel", 259.78 ] ], "labour_hours": 6.0, "labour_rate": 55.91, "total": 1567.61, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing" ] }, "review": { "ok": false, "send_back_to": "extractor", "reasons": [ "estimate lines add up to 1567.61, stated total 1747.61" ] }, "recommendation": null, "cost": { "tokens": 2094, "dollars": 0.0004185 }, "path": [ "extractor", "investigator", "reviewer", "extractor" ] }, { "claim": "CLM-0006", "step": 5, "node": "reviewer", "status": "running", "strict": true, "lookups": 2, "send_backs": 1, "extracted": { "policy": "POL-168058", "vehicle": "E98 XMT", "loss_date": "2025-09-13", "policy_start": "2025-01-22", "policy_end": "2026-12-22", "limit": 5200.0, "excess": 250.0, "parts": [ [ "wing mirror", 186.22 ], [ "headlamp", 311.07 ], [ "front bumper", 475.08 ], [ "alloy wheel", 259.78 ] ], "labour_hours": 6.0, "labour_rate": 55.91, "total": 1567.61, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": false, "send_back_to": "extractor", "reasons": [ "estimate lines add up to 1567.61, stated total 1747.61" ] }, "recommendation": null, "cost": { "tokens": 2564, "dollars": 0.00050385 }, "path": [ "extractor", "investigator", "reviewer", "extractor", "investigator" ] }, { "claim": "CLM-0006", "step": 6, "node": "recommend", "status": "running", "strict": true, "lookups": 2, "send_backs": 1, "extracted": { "policy": "POL-168058", "vehicle": "E98 XMT", "loss_date": "2025-09-13", "policy_start": "2025-01-22", "policy_end": "2026-12-22", "limit": 5200.0, "excess": 250.0, "parts": [ [ "wing mirror", 186.22 ], [ "headlamp", 311.07 ], [ "front bumper", 475.08 ], [ "alloy wheel", 259.78 ] ], "labour_hours": 6.0, "labour_rate": 55.91, "total": 1567.61, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": null, "cost": { "tokens": 3047, "dollars": 0.00058125 }, "path": [ "extractor", "investigator", "reviewer", "extractor", "investigator", "reviewer" ] }, { "claim": "CLM-0006", "step": 7, "node": "recommend", "status": "awaiting_approval", "strict": true, "lookups": 2, "send_backs": 1, "extracted": { "policy": "POL-168058", "vehicle": "E98 XMT", "loss_date": "2025-09-13", "policy_start": "2025-01-22", "policy_end": "2026-12-22", "limit": 5200.0, "excess": 250.0, "parts": [ [ "wing mirror", 186.22 ], [ "headlamp", 311.07 ], [ "front bumper", 475.08 ], [ "alloy wheel", 259.78 ] ], "labour_hours": 6.0, "labour_rate": 55.91, "total": 1567.61, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": { "decision": "approve", "payout": 1317.61, "reasons": [ "covered, priced in line, no duplicate" ] }, "cost": { "tokens": 3543, "dollars": 0.00066645 }, "path": [ "extractor", "investigator", "reviewer", "extractor", "investigator", "reviewer", "recommend" ] } ] }, { "id": "CLM-0007", "documents": { "fnol": "First notice of loss. Policy POL-161597. Vehicle C94 YKP. Date of loss 2025-07-14. The insured reports a rear-end collision at a junction; damage to the door panel, wing mirror, front bumper.", "policy": "Policy POL-161597. Cover: comprehensive. Start 2025-05-26. End 2026-07-26. Limit 9300.00. Excess 250.00.", "estimate": "Repair estimate for C94 YKP.\nPart: door panel 493.06\nPart: wing mirror 159.39\nPart: front bumper 401.30\nLabour: 5.8 hours at 61.68\nTotal: 1411.49" }, "prior_claims": [ { "policy": "POL-161597", "date": "2024-08-06", "parts": [ "front bumper" ] } ], "planted": [], "steps": [ { "claim": "CLM-0007", "step": 0, "node": "extractor", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": null, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 0, "dollars": 0.0 }, "path": [] }, { "claim": "CLM-0007", "step": 1, "node": "investigator", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": { "policy": "POL-161597", "vehicle": "C94 YKP", "loss_date": "2025-07-14", "policy_start": "2025-05-26", "policy_end": "2026-07-26", "limit": 9300.0, "excess": 250.0, "parts": [ [ "door panel", 493.06 ], [ "wing mirror", 159.39 ], [ "front bumper", 401.3 ] ], "labour_hours": 5.8, "labour_rate": 61.68, "total": 1411.49, "missing": [] }, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 552, "dollars": 0.00011925 }, "path": [ "extractor" ] }, { "claim": "CLM-0007", "step": 2, "node": "reviewer", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-161597", "vehicle": "C94 YKP", "loss_date": "2025-07-14", "policy_start": "2025-05-26", "policy_end": "2026-07-26", "limit": 9300.0, "excess": 250.0, "parts": [ [ "door panel", 493.06 ], [ "wing mirror", 159.39 ], [ "front bumper", 401.3 ] ], "labour_hours": 5.8, "labour_rate": 61.68, "total": 1411.49, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": null, "recommendation": null, "cost": { "tokens": 1016, "dollars": 0.0002037 }, "path": [ "extractor", "investigator" ] }, { "claim": "CLM-0007", "step": 3, "node": "recommend", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-161597", "vehicle": "C94 YKP", "loss_date": "2025-07-14", "policy_start": "2025-05-26", "policy_end": "2026-07-26", "limit": 9300.0, "excess": 250.0, "parts": [ [ "door panel", 493.06 ], [ "wing mirror", 159.39 ], [ "front bumper", 401.3 ] ], "labour_hours": 5.8, "labour_rate": 61.68, "total": 1411.49, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": null, "cost": { "tokens": 1493, "dollars": 0.0002802 }, "path": [ "extractor", "investigator", "reviewer" ] }, { "claim": "CLM-0007", "step": 4, "node": "recommend", "status": "awaiting_approval", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-161597", "vehicle": "C94 YKP", "loss_date": "2025-07-14", "policy_start": "2025-05-26", "policy_end": "2026-07-26", "limit": 9300.0, "excess": 250.0, "parts": [ [ "door panel", 493.06 ], [ "wing mirror", 159.39 ], [ "front bumper", 401.3 ] ], "labour_hours": 5.8, "labour_rate": 61.68, "total": 1411.49, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": { "decision": "approve", "payout": 1161.49, "reasons": [ "covered, priced in line, no duplicate" ] }, "cost": { "tokens": 1983, "dollars": 0.0003645 }, "path": [ "extractor", "investigator", "reviewer", "recommend" ] } ] }, { "id": "CLM-0008", "documents": { "fnol": "First notice of loss. Policy POL-802818. Vehicle D77 XMR. Date of loss 2025-09-11. The insured reports a rear-end collision at a junction; damage to the front bumper, windscreen, tail lamp.", "policy": "Policy POL-802818. Cover: comprehensive. Start 2025-06-24. End 2026-11-24. Limit 6000.00. Excess 250.00.", "estimate": "Repair estimate for D77 XMR.\nPart: front bumper 422.83\nPart: windscreen 354.55\nPart: tail lamp 145.41\nLabour: 5.0 hours at 66.62\nTotal: 1255.89" }, "prior_claims": [], "planted": [], "steps": [ { "claim": "CLM-0008", "step": 0, "node": "extractor", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": null, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 0, "dollars": 0.0 }, "path": [] }, { "claim": "CLM-0008", "step": 1, "node": "investigator", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": { "policy": "POL-802818", "vehicle": "D77 XMR", "loss_date": "2025-09-11", "policy_start": "2025-06-24", "policy_end": "2026-11-24", "limit": 6000.0, "excess": 250.0, "parts": [ [ "front bumper", 422.83 ], [ "windscreen", 354.55 ], [ "tail lamp", 145.41 ] ], "labour_hours": 5.0, "labour_rate": 66.62, "total": 1255.89, "missing": [] }, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 551, "dollars": 0.0001191 }, "path": [ "extractor" ] }, { "claim": "CLM-0008", "step": 2, "node": "reviewer", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-802818", "vehicle": "D77 XMR", "loss_date": "2025-09-11", "policy_start": "2025-06-24", "policy_end": "2026-11-24", "limit": 6000.0, "excess": 250.0, "parts": [ [ "front bumper", 422.83 ], [ "windscreen", 354.55 ], [ "tail lamp", 145.41 ] ], "labour_hours": 5.0, "labour_rate": 66.62, "total": 1255.89, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": null, "recommendation": null, "cost": { "tokens": 1015, "dollars": 0.00020355 }, "path": [ "extractor", "investigator" ] }, { "claim": "CLM-0008", "step": 3, "node": "recommend", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-802818", "vehicle": "D77 XMR", "loss_date": "2025-09-11", "policy_start": "2025-06-24", "policy_end": "2026-11-24", "limit": 6000.0, "excess": 250.0, "parts": [ [ "front bumper", 422.83 ], [ "windscreen", 354.55 ], [ "tail lamp", 145.41 ] ], "labour_hours": 5.0, "labour_rate": 66.62, "total": 1255.89, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": null, "cost": { "tokens": 1492, "dollars": 0.00028005 }, "path": [ "extractor", "investigator", "reviewer" ] }, { "claim": "CLM-0008", "step": 4, "node": "recommend", "status": "awaiting_approval", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-802818", "vehicle": "D77 XMR", "loss_date": "2025-09-11", "policy_start": "2025-06-24", "policy_end": "2026-11-24", "limit": 6000.0, "excess": 250.0, "parts": [ [ "front bumper", 422.83 ], [ "windscreen", 354.55 ], [ "tail lamp", 145.41 ] ], "labour_hours": 5.0, "labour_rate": 66.62, "total": 1255.89, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": { "decision": "approve", "payout": 1005.89, "reasons": [ "covered, priced in line, no duplicate" ] }, "cost": { "tokens": 1982, "dollars": 0.00036435 }, "path": [ "extractor", "investigator", "reviewer", "recommend" ] } ] }, { "id": "CLM-0009", "documents": { "fnol": "First notice of loss. Policy POL-422762. Vehicle A32 XKP. Date of loss 2025-07-19. The insured reports a low-speed impact in a car park; damage to the bonnet, door panel.", "policy": "Policy POL-422762. Cover: comprehensive. Start 2025-01-05. End 2026-11-05. Limit 8700.00. Excess 250.00.", "estimate": "Repair estimate for A32 XKP.\nPart: bonnet 671.23\nPart: door panel 607.65\nLabour: 7.2 hours at 63.77\nTotal: 1918.02" }, "prior_claims": [ { "policy": "POL-422762", "date": "2024-02-08", "parts": [ "rear bumper" ] } ], "planted": [], "steps": [ { "claim": "CLM-0009", "step": 0, "node": "extractor", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": null, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 0, "dollars": 0.0 }, "path": [] }, { "claim": "CLM-0009", "step": 1, "node": "investigator", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": { "policy": "POL-422762", "vehicle": "A32 XKP", "loss_date": "2025-07-19", "policy_start": "2025-01-05", "policy_end": "2026-11-05", "limit": 8700.0, "excess": 250.0, "parts": [ [ "bonnet", 671.23 ], [ "door panel", 607.65 ] ], "labour_hours": 7.2, "labour_rate": 63.77, "total": 1918.02, "missing": [] }, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 532, "dollars": 0.0001131 }, "path": [ "extractor" ] }, { "claim": "CLM-0009", "step": 2, "node": "reviewer", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-422762", "vehicle": "A32 XKP", "loss_date": "2025-07-19", "policy_start": "2025-01-05", "policy_end": "2026-11-05", "limit": 8700.0, "excess": 250.0, "parts": [ [ "bonnet", 671.23 ], [ "door panel", 607.65 ] ], "labour_hours": 7.2, "labour_rate": 63.77, "total": 1918.02, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing" ] }, "review": null, "recommendation": null, "cost": { "tokens": 986, "dollars": 0.0001947 }, "path": [ "extractor", "investigator" ] }, { "claim": "CLM-0009", "step": 3, "node": "extractor", "status": "running", "strict": true, "lookups": 1, "send_backs": 1, "extracted": { "policy": "POL-422762", "vehicle": "A32 XKP", "loss_date": "2025-07-19", "policy_start": "2025-01-05", "policy_end": "2026-11-05", "limit": 8700.0, "excess": 250.0, "parts": [ [ "bonnet", 671.23 ], [ "door panel", 607.65 ] ], "labour_hours": 7.2, "labour_rate": 63.77, "total": 1918.02, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing" ] }, "review": { "ok": false, "send_back_to": "extractor", "reasons": [ "estimate lines add up to 1738.02, stated total 1918.02" ] }, "recommendation": null, "cost": { "tokens": 1469, "dollars": 0.00027975 }, "path": [ "extractor", "investigator", "reviewer" ] }, { "claim": "CLM-0009", "step": 4, "node": "investigator", "status": "running", "strict": true, "lookups": 1, "send_backs": 1, "extracted": { "policy": "POL-422762", "vehicle": "A32 XKP", "loss_date": "2025-07-19", "policy_start": "2025-01-05", "policy_end": "2026-11-05", "limit": 8700.0, "excess": 250.0, "parts": [ [ "bonnet", 671.23 ], [ "door panel", 607.65 ] ], "labour_hours": 7.2, "labour_rate": 63.77, "total": 1738.02, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing" ] }, "review": { "ok": false, "send_back_to": "extractor", "reasons": [ "estimate lines add up to 1738.02, stated total 1918.02" ] }, "recommendation": null, "cost": { "tokens": 2001, "dollars": 0.00039285 }, "path": [ "extractor", "investigator", "reviewer", "extractor" ] }, { "claim": "CLM-0009", "step": 5, "node": "reviewer", "status": "running", "strict": true, "lookups": 2, "send_backs": 1, "extracted": { "policy": "POL-422762", "vehicle": "A32 XKP", "loss_date": "2025-07-19", "policy_start": "2025-01-05", "policy_end": "2026-11-05", "limit": 8700.0, "excess": 250.0, "parts": [ [ "bonnet", 671.23 ], [ "door panel", 607.65 ] ], "labour_hours": 7.2, "labour_rate": 63.77, "total": 1738.02, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": false, "send_back_to": "extractor", "reasons": [ "estimate lines add up to 1738.02, stated total 1918.02" ] }, "recommendation": null, "cost": { "tokens": 2458, "dollars": 0.00047625 }, "path": [ "extractor", "investigator", "reviewer", "extractor", "investigator" ] }, { "claim": "CLM-0009", "step": 6, "node": "recommend", "status": "running", "strict": true, "lookups": 2, "send_backs": 1, "extracted": { "policy": "POL-422762", "vehicle": "A32 XKP", "loss_date": "2025-07-19", "policy_start": "2025-01-05", "policy_end": "2026-11-05", "limit": 8700.0, "excess": 250.0, "parts": [ [ "bonnet", 671.23 ], [ "door panel", 607.65 ] ], "labour_hours": 7.2, "labour_rate": 63.77, "total": 1738.02, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": null, "cost": { "tokens": 2927, "dollars": 0.00055155 }, "path": [ "extractor", "investigator", "reviewer", "extractor", "investigator", "reviewer" ] }, { "claim": "CLM-0009", "step": 7, "node": "recommend", "status": "awaiting_approval", "strict": true, "lookups": 2, "send_backs": 1, "extracted": { "policy": "POL-422762", "vehicle": "A32 XKP", "loss_date": "2025-07-19", "policy_start": "2025-01-05", "policy_end": "2026-11-05", "limit": 8700.0, "excess": 250.0, "parts": [ [ "bonnet", 671.23 ], [ "door panel", 607.65 ] ], "labour_hours": 7.2, "labour_rate": 63.77, "total": 1738.02, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": { "decision": "approve", "payout": 1488.02, "reasons": [ "covered, priced in line, no duplicate" ] }, "cost": { "tokens": 3409, "dollars": 0.00063465 }, "path": [ "extractor", "investigator", "reviewer", "extractor", "investigator", "reviewer", "recommend" ] } ] }, { "id": "CLM-0010", "documents": { "fnol": "First notice of loss. Policy POL-225585. Vehicle B61 ZLS. Date of loss 2025-09-26. The insured reports a low-speed impact in a car park; damage to the bonnet, windscreen, tail lamp.", "policy": "Policy POL-225585. Cover: comprehensive. Start 2025-04-07. End 2026-11-07. Limit 9400.00. Excess 250.00." }, "prior_claims": [ { "policy": "POL-225585", "date": "2025-09-26", "parts": [ "bonnet", "windscreen", "tail lamp" ] } ], "planted": [ "duplicate_claim", "missing_estimate" ], "steps": [ { "claim": "CLM-0010", "step": 0, "node": "extractor", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": null, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 0, "dollars": 0.0 }, "path": [] }, { "claim": "CLM-0010", "step": 1, "node": "investigator", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": { "policy": "POL-225585", "vehicle": "B61 ZLS", "loss_date": "2025-09-26", "policy_start": "2025-04-07", "policy_end": "2026-11-07", "limit": 9400.0, "excess": 250.0, "parts": [], "labour_hours": 0.0, "labour_rate": 0.0, "total": null, "missing": [ "estimate" ] }, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 491, "dollars": 0.00010245 }, "path": [ "extractor" ] }, { "claim": "CLM-0010", "step": 2, "node": "reviewer", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-225585", "vehicle": "B61 ZLS", "loss_date": "2025-09-26", "policy_start": "2025-04-07", "policy_end": "2026-11-07", "limit": 9400.0, "excess": 250.0, "parts": [], "labour_hours": 0.0, "labour_rate": 0.0, "total": null, "missing": [ "estimate" ] }, "findings": { "covered": true, "within_limit": true, "duplicate": true, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": null, "recommendation": null, "cost": { "tokens": 938, "dollars": 0.00018435 }, "path": [ "extractor", "investigator" ] }, { "claim": "CLM-0010", "step": 3, "node": "recommend", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-225585", "vehicle": "B61 ZLS", "loss_date": "2025-09-26", "policy_start": "2025-04-07", "policy_end": "2026-11-07", "limit": 9400.0, "excess": 250.0, "parts": [], "labour_hours": 0.0, "labour_rate": 0.0, "total": null, "missing": [ "estimate" ] }, "findings": { "covered": true, "within_limit": true, "duplicate": true, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": null, "cost": { "tokens": 1398, "dollars": 0.0002583 }, "path": [ "extractor", "investigator", "reviewer" ] }, { "claim": "CLM-0010", "step": 4, "node": "recommend", "status": "decided", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-225585", "vehicle": "B61 ZLS", "loss_date": "2025-09-26", "policy_start": "2025-04-07", "policy_end": "2026-11-07", "limit": 9400.0, "excess": 250.0, "parts": [], "labour_hours": 0.0, "labour_rate": 0.0, "total": null, "missing": [ "estimate" ] }, "findings": { "covered": true, "within_limit": true, "duplicate": true, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": { "decision": "refer", "payout": 0.0, "reasons": [ "no repair estimate: request one" ] }, "cost": { "tokens": 1868, "dollars": 0.00033825 }, "path": [ "extractor", "investigator", "reviewer", "recommend" ] } ] }, { "id": "CLM-0011", "documents": { "fnol": "First notice of loss. Policy POL-489254. Vehicle B13 YLP. Date of loss 2025-07-01. The insured reports a collision with a bollard; damage to the windscreen, front bumper.", "policy": "Policy POL-489254. Cover: comprehensive. Start 2025-05-18. End 2026-06-18. Limit 4500.00. Excess 250.00.", "estimate": "Repair estimate for B13 YLP.\nPart: windscreen 337.65\nPart: front bumper 427.34\nLabour: 4.5 hours at 60.03\nTotal: 1035.12" }, "prior_claims": [], "planted": [], "steps": [ { "claim": "CLM-0011", "step": 0, "node": "extractor", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": null, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 0, "dollars": 0.0 }, "path": [] }, { "claim": "CLM-0011", "step": 1, "node": "investigator", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": { "policy": "POL-489254", "vehicle": "B13 YLP", "loss_date": "2025-07-01", "policy_start": "2025-05-18", "policy_end": "2026-06-18", "limit": 4500.0, "excess": 250.0, "parts": [ [ "windscreen", 337.65 ], [ "front bumper", 427.34 ] ], "labour_hours": 4.5, "labour_rate": 60.03, "total": 1035.12, "missing": [] }, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 535, "dollars": 0.000114 }, "path": [ "extractor" ] }, { "claim": "CLM-0011", "step": 2, "node": "reviewer", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-489254", "vehicle": "B13 YLP", "loss_date": "2025-07-01", "policy_start": "2025-05-18", "policy_end": "2026-06-18", "limit": 4500.0, "excess": 250.0, "parts": [ [ "windscreen", 337.65 ], [ "front bumper", 427.34 ] ], "labour_hours": 4.5, "labour_rate": 60.03, "total": 1035.12, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": null, "recommendation": null, "cost": { "tokens": 993, "dollars": 0.00019755 }, "path": [ "extractor", "investigator" ] }, { "claim": "CLM-0011", "step": 3, "node": "recommend", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-489254", "vehicle": "B13 YLP", "loss_date": "2025-07-01", "policy_start": "2025-05-18", "policy_end": "2026-06-18", "limit": 4500.0, "excess": 250.0, "parts": [ [ "windscreen", 337.65 ], [ "front bumper", 427.34 ] ], "labour_hours": 4.5, "labour_rate": 60.03, "total": 1035.12, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": null, "cost": { "tokens": 1464, "dollars": 0.00027315 }, "path": [ "extractor", "investigator", "reviewer" ] }, { "claim": "CLM-0011", "step": 4, "node": "recommend", "status": "awaiting_approval", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-489254", "vehicle": "B13 YLP", "loss_date": "2025-07-01", "policy_start": "2025-05-18", "policy_end": "2026-06-18", "limit": 4500.0, "excess": 250.0, "parts": [ [ "windscreen", 337.65 ], [ "front bumper", 427.34 ] ], "labour_hours": 4.5, "labour_rate": 60.03, "total": 1035.12, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": { "decision": "approve", "payout": 785.12, "reasons": [ "covered, priced in line, no duplicate" ] }, "cost": { "tokens": 1947, "dollars": 0.00035595 }, "path": [ "extractor", "investigator", "reviewer", "recommend" ] } ] }, { "id": "CLM-0012", "documents": { "fnol": "First notice of loss. Policy POL-820674. Vehicle F58 YLP. Date of loss 2025-08-01. The insured reports a collision with a bollard; damage to the alloy wheel, front bumper, radiator, headlamp.", "policy": "Policy POL-820674. Cover: comprehensive. Start 2025-01-19. End 2026-11-19. Limit 9800.00. Excess 250.00.", "estimate": "Repair estimate for F58 YLP.\nPart: alloy wheel 261.08\nPart: front bumper 481.59\nPart: radiator 317.43\nPart: headlamp 320.09\nLabour: 6.0 hours at 59.95\nTotal: 1739.89" }, "prior_claims": [], "planted": [], "steps": [ { "claim": "CLM-0012", "step": 0, "node": "extractor", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": null, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 0, "dollars": 0.0 }, "path": [] }, { "claim": "CLM-0012", "step": 1, "node": "investigator", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": { "policy": "POL-820674", "vehicle": "F58 YLP", "loss_date": "2025-08-01", "policy_start": "2025-01-19", "policy_end": "2026-11-19", "limit": 9800.0, "excess": 250.0, "parts": [ [ "alloy wheel", 261.08 ], [ "front bumper", 481.59 ], [ "radiator", 317.43 ], [ "headlamp", 320.09 ] ], "labour_hours": 6.0, "labour_rate": 59.95, "total": 1739.89, "missing": [] }, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 563, "dollars": 0.00012315 }, "path": [ "extractor" ] }, { "claim": "CLM-0012", "step": 2, "node": "reviewer", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-820674", "vehicle": "F58 YLP", "loss_date": "2025-08-01", "policy_start": "2025-01-19", "policy_end": "2026-11-19", "limit": 9800.0, "excess": 250.0, "parts": [ [ "alloy wheel", 261.08 ], [ "front bumper", 481.59 ], [ "radiator", 317.43 ], [ "headlamp", 320.09 ] ], "labour_hours": 6.0, "labour_rate": 59.95, "total": 1739.89, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": null, "recommendation": null, "cost": { "tokens": 1032, "dollars": 0.00020835 }, "path": [ "extractor", "investigator" ] }, { "claim": "CLM-0012", "step": 3, "node": "recommend", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-820674", "vehicle": "F58 YLP", "loss_date": "2025-08-01", "policy_start": "2025-01-19", "policy_end": "2026-11-19", "limit": 9800.0, "excess": 250.0, "parts": [ [ "alloy wheel", 261.08 ], [ "front bumper", 481.59 ], [ "radiator", 317.43 ], [ "headlamp", 320.09 ] ], "labour_hours": 6.0, "labour_rate": 59.95, "total": 1739.89, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": null, "cost": { "tokens": 1514, "dollars": 0.0002856 }, "path": [ "extractor", "investigator", "reviewer" ] }, { "claim": "CLM-0012", "step": 4, "node": "recommend", "status": "awaiting_approval", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-820674", "vehicle": "F58 YLP", "loss_date": "2025-08-01", "policy_start": "2025-01-19", "policy_end": "2026-11-19", "limit": 9800.0, "excess": 250.0, "parts": [ [ "alloy wheel", 261.08 ], [ "front bumper", 481.59 ], [ "radiator", 317.43 ], [ "headlamp", 320.09 ] ], "labour_hours": 6.0, "labour_rate": 59.95, "total": 1739.89, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": { "decision": "approve", "payout": 1489.89, "reasons": [ "covered, priced in line, no duplicate" ] }, "cost": { "tokens": 2009, "dollars": 0.00037065 }, "path": [ "extractor", "investigator", "reviewer", "recommend" ] } ] }, { "id": "CLM-0013", "documents": { "fnol": "First notice of loss. Policy POL-453835. Vehicle D37 ZMP. Date of loss 2025-09-05. The insured reports a low-speed impact in a car park; damage to the alloy wheel, tail lamp, bonnet.", "policy": "Policy POL-453835. Cover: comprehensive. Start 2025-03-14. End 2026-06-14. Limit 4900.00. Excess 250.00.", "estimate": "Repair estimate for D37 ZMP.\nPart: alloy wheel 221.92\nPart: tail lamp 128.06\nPart: bonnet 540.08\nLabour: 6.0 hours at 58.79\nTotal: 1242.80" }, "prior_claims": [ { "policy": "POL-453835", "date": "2025-09-05", "parts": [ "alloy wheel", "tail lamp", "bonnet" ] } ], "planted": [ "duplicate_claim" ], "steps": [ { "claim": "CLM-0013", "step": 0, "node": "extractor", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": null, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 0, "dollars": 0.0 }, "path": [] }, { "claim": "CLM-0013", "step": 1, "node": "investigator", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": { "policy": "POL-453835", "vehicle": "D37 ZMP", "loss_date": "2025-09-05", "policy_start": "2025-03-14", "policy_end": "2026-06-14", "limit": 4900.0, "excess": 250.0, "parts": [ [ "alloy wheel", 221.92 ], [ "tail lamp", 128.06 ], [ "bonnet", 540.08 ] ], "labour_hours": 6.0, "labour_rate": 58.79, "total": 1242.8, "missing": [] }, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 546, "dollars": 0.00011745 }, "path": [ "extractor" ] }, { "claim": "CLM-0013", "step": 2, "node": "reviewer", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-453835", "vehicle": "D37 ZMP", "loss_date": "2025-09-05", "policy_start": "2025-03-14", "policy_end": "2026-06-14", "limit": 4900.0, "excess": 250.0, "parts": [ [ "alloy wheel", 221.92 ], [ "tail lamp", 128.06 ], [ "bonnet", 540.08 ] ], "labour_hours": 6.0, "labour_rate": 58.79, "total": 1242.8, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": true, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": null, "recommendation": null, "cost": { "tokens": 1008, "dollars": 0.0002016 }, "path": [ "extractor", "investigator" ] }, { "claim": "CLM-0013", "step": 3, "node": "recommend", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-453835", "vehicle": "D37 ZMP", "loss_date": "2025-09-05", "policy_start": "2025-03-14", "policy_end": "2026-06-14", "limit": 4900.0, "excess": 250.0, "parts": [ [ "alloy wheel", 221.92 ], [ "tail lamp", 128.06 ], [ "bonnet", 540.08 ] ], "labour_hours": 6.0, "labour_rate": 58.79, "total": 1242.8, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": true, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": null, "cost": { "tokens": 1483, "dollars": 0.0002778 }, "path": [ "extractor", "investigator", "reviewer" ] }, { "claim": "CLM-0013", "step": 4, "node": "recommend", "status": "decided", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-453835", "vehicle": "D37 ZMP", "loss_date": "2025-09-05", "policy_start": "2025-03-14", "policy_end": "2026-06-14", "limit": 4900.0, "excess": 250.0, "parts": [ [ "alloy wheel", 221.92 ], [ "tail lamp", 128.06 ], [ "bonnet", 540.08 ] ], "labour_hours": 6.0, "labour_rate": 58.79, "total": 1242.8, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": true, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": { "decision": "refer", "payout": 0.0, "reasons": [ "a prior claim on this policy has the same date of loss" ] }, "cost": { "tokens": 1973, "dollars": 0.000363 }, "path": [ "extractor", "investigator", "reviewer", "recommend" ] } ] }, { "id": "CLM-0014", "documents": { "fnol": "First notice of loss. Policy POL-991492. Vehicle H51 XKT. Date of loss 2025-07-18. The insured reports a rear-end collision at a junction; damage to the door panel, tail lamp.", "policy": "Policy POL-991492. Cover: comprehensive. Start 2025-03-18. End 2026-11-18. Limit 300.00. Excess 250.00.", "estimate": "Repair estimate for H51 XKT.\nPart: door panel 450.25\nPart: tail lamp 126.02\nLabour: 6.0 hours at 56.02\nTotal: 912.39" }, "prior_claims": [ { "policy": "POL-991492", "date": "2025-07-18", "parts": [ "door panel", "tail lamp" ] } ], "planted": [ "duplicate_claim", "over_limit" ], "steps": [ { "claim": "CLM-0014", "step": 0, "node": "extractor", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": null, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 0, "dollars": 0.0 }, "path": [] }, { "claim": "CLM-0014", "step": 1, "node": "investigator", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": { "policy": "POL-991492", "vehicle": "H51 XKT", "loss_date": "2025-07-18", "policy_start": "2025-03-18", "policy_end": "2026-11-18", "limit": 300.0, "excess": 250.0, "parts": [ [ "door panel", 450.25 ], [ "tail lamp", 126.02 ] ], "labour_hours": 6.0, "labour_rate": 56.02, "total": 912.39, "missing": [] }, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 534, "dollars": 0.0001134 }, "path": [ "extractor" ] }, { "claim": "CLM-0014", "step": 2, "node": "reviewer", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-991492", "vehicle": "H51 XKT", "loss_date": "2025-07-18", "policy_start": "2025-03-18", "policy_end": "2026-11-18", "limit": 300.0, "excess": 250.0, "parts": [ [ "door panel", 450.25 ], [ "tail lamp", 126.02 ] ], "labour_hours": 6.0, "labour_rate": 56.02, "total": 912.39, "missing": [] }, "findings": { "covered": true, "within_limit": false, "duplicate": true, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": null, "recommendation": null, "cost": { "tokens": 991, "dollars": 0.0001968 }, "path": [ "extractor", "investigator" ] }, { "claim": "CLM-0014", "step": 3, "node": "recommend", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-991492", "vehicle": "H51 XKT", "loss_date": "2025-07-18", "policy_start": "2025-03-18", "policy_end": "2026-11-18", "limit": 300.0, "excess": 250.0, "parts": [ [ "door panel", 450.25 ], [ "tail lamp", 126.02 ] ], "labour_hours": 6.0, "labour_rate": 56.02, "total": 912.39, "missing": [] }, "findings": { "covered": true, "within_limit": false, "duplicate": true, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": null, "cost": { "tokens": 1461, "dollars": 0.00027225 }, "path": [ "extractor", "investigator", "reviewer" ] }, { "claim": "CLM-0014", "step": 4, "node": "recommend", "status": "decided", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-991492", "vehicle": "H51 XKT", "loss_date": "2025-07-18", "policy_start": "2025-03-18", "policy_end": "2026-11-18", "limit": 300.0, "excess": 250.0, "parts": [ [ "door panel", 450.25 ], [ "tail lamp", 126.02 ] ], "labour_hours": 6.0, "labour_rate": 56.02, "total": 912.39, "missing": [] }, "findings": { "covered": true, "within_limit": false, "duplicate": true, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": { "decision": "refer", "payout": 0.0, "reasons": [ "a prior claim on this policy has the same date of loss" ] }, "cost": { "tokens": 1946, "dollars": 0.0003567 }, "path": [ "extractor", "investigator", "reviewer", "recommend" ] } ] }, { "id": "CLM-0015", "documents": { "fnol": "First notice of loss. Policy POL-353929. Vehicle E60 YMS. Date of loss 2025-08-18. The insured reports a low-speed impact in a car park; damage to the front bumper.", "policy": "Policy POL-353929. Cover: comprehensive. Start 2025-02-28. End 2026-08-28. Limit 400.00. Excess 250.00.", "estimate": "Repair estimate for E60 YMS.\nPart: front bumper 522.06\nLabour: 4.2 hours at 65.17\nTotal: 795.77" }, "prior_claims": [ { "policy": "POL-353929", "date": "2025-08-18", "parts": [ "front bumper" ] } ], "planted": [ "duplicate_claim", "over_limit" ], "steps": [ { "claim": "CLM-0015", "step": 0, "node": "extractor", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": null, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 0, "dollars": 0.0 }, "path": [] }, { "claim": "CLM-0015", "step": 1, "node": "investigator", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": { "policy": "POL-353929", "vehicle": "E60 YMS", "loss_date": "2025-08-18", "policy_start": "2025-02-28", "policy_end": "2026-08-28", "limit": 400.0, "excess": 250.0, "parts": [ [ "front bumper", 522.06 ] ], "labour_hours": 4.2, "labour_rate": 65.17, "total": 795.77, "missing": [] }, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 520, "dollars": 0.00010905 }, "path": [ "extractor" ] }, { "claim": "CLM-0015", "step": 2, "node": "reviewer", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-353929", "vehicle": "E60 YMS", "loss_date": "2025-08-18", "policy_start": "2025-02-28", "policy_end": "2026-08-28", "limit": 400.0, "excess": 250.0, "parts": [ [ "front bumper", 522.06 ] ], "labour_hours": 4.2, "labour_rate": 65.17, "total": 795.77, "missing": [] }, "findings": { "covered": true, "within_limit": false, "duplicate": true, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": null, "recommendation": null, "cost": { "tokens": 972, "dollars": 0.0001917 }, "path": [ "extractor", "investigator" ] }, { "claim": "CLM-0015", "step": 3, "node": "recommend", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-353929", "vehicle": "E60 YMS", "loss_date": "2025-08-18", "policy_start": "2025-02-28", "policy_end": "2026-08-28", "limit": 400.0, "excess": 250.0, "parts": [ [ "front bumper", 522.06 ] ], "labour_hours": 4.2, "labour_rate": 65.17, "total": 795.77, "missing": [] }, "findings": { "covered": true, "within_limit": false, "duplicate": true, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": null, "cost": { "tokens": 1436, "dollars": 0.00026625 }, "path": [ "extractor", "investigator", "reviewer" ] }, { "claim": "CLM-0015", "step": 4, "node": "recommend", "status": "decided", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-353929", "vehicle": "E60 YMS", "loss_date": "2025-08-18", "policy_start": "2025-02-28", "policy_end": "2026-08-28", "limit": 400.0, "excess": 250.0, "parts": [ [ "front bumper", 522.06 ] ], "labour_hours": 4.2, "labour_rate": 65.17, "total": 795.77, "missing": [] }, "findings": { "covered": true, "within_limit": false, "duplicate": true, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": { "decision": "refer", "payout": 0.0, "reasons": [ "a prior claim on this policy has the same date of loss" ] }, "cost": { "tokens": 1915, "dollars": 0.0003498 }, "path": [ "extractor", "investigator", "reviewer", "recommend" ] } ] }, { "id": "CLM-0016", "documents": { "fnol": "First notice of loss. Policy POL-679151. Vehicle A93 XKR. Date of loss 2025-07-21. The insured reports a low-speed impact in a car park; damage to the door panel.", "policy": "Policy POL-679151. Cover: comprehensive. Start 2025-02-17. End 2026-06-17. Limit 3700.00. Excess 250.00.", "estimate": "Repair estimate for A93 XKR.\nPart: door panel 527.72\nLabour: 2.7 hours at 56.06\nTotal: 859.08" }, "prior_claims": [], "planted": [], "steps": [ { "claim": "CLM-0016", "step": 0, "node": "extractor", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": null, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 0, "dollars": 0.0 }, "path": [] }, { "claim": "CLM-0016", "step": 1, "node": "investigator", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": { "policy": "POL-679151", "vehicle": "A93 XKR", "loss_date": "2025-07-21", "policy_start": "2025-02-17", "policy_end": "2026-06-17", "limit": 3700.0, "excess": 250.0, "parts": [ [ "door panel", 527.72 ] ], "labour_hours": 2.7, "labour_rate": 56.06, "total": 859.08, "missing": [] }, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 519, "dollars": 0.00010845 }, "path": [ "extractor" ] }, { "claim": "CLM-0016", "step": 2, "node": "reviewer", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-679151", "vehicle": "A93 XKR", "loss_date": "2025-07-21", "policy_start": "2025-02-17", "policy_end": "2026-06-17", "limit": 3700.0, "excess": 250.0, "parts": [ [ "door panel", 527.72 ] ], "labour_hours": 2.7, "labour_rate": 56.06, "total": 859.08, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": null, "recommendation": null, "cost": { "tokens": 970, "dollars": 0.00019095 }, "path": [ "extractor", "investigator" ] }, { "claim": "CLM-0016", "step": 3, "node": "extractor", "status": "running", "strict": true, "lookups": 1, "send_backs": 1, "extracted": { "policy": "POL-679151", "vehicle": "A93 XKR", "loss_date": "2025-07-21", "policy_start": "2025-02-17", "policy_end": "2026-06-17", "limit": 3700.0, "excess": 250.0, "parts": [ [ "door panel", 527.72 ] ], "labour_hours": 2.7, "labour_rate": 56.06, "total": 859.08, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": false, "send_back_to": "extractor", "reasons": [ "estimate lines add up to 679.08, stated total 859.08" ] }, "recommendation": null, "cost": { "tokens": 1450, "dollars": 0.0002751 }, "path": [ "extractor", "investigator", "reviewer" ] }, { "claim": "CLM-0016", "step": 4, "node": "investigator", "status": "running", "strict": true, "lookups": 1, "send_backs": 1, "extracted": { "policy": "POL-679151", "vehicle": "A93 XKR", "loss_date": "2025-07-21", "policy_start": "2025-02-17", "policy_end": "2026-06-17", "limit": 3700.0, "excess": 250.0, "parts": [ [ "door panel", 527.72 ] ], "labour_hours": 2.7, "labour_rate": 56.06, "total": 679.08, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": false, "send_back_to": "extractor", "reasons": [ "estimate lines add up to 679.08, stated total 859.08" ] }, "recommendation": null, "cost": { "tokens": 1969, "dollars": 0.00038355 }, "path": [ "extractor", "investigator", "reviewer", "extractor" ] }, { "claim": "CLM-0016", "step": 5, "node": "reviewer", "status": "running", "strict": true, "lookups": 2, "send_backs": 1, "extracted": { "policy": "POL-679151", "vehicle": "A93 XKR", "loss_date": "2025-07-21", "policy_start": "2025-02-17", "policy_end": "2026-06-17", "limit": 3700.0, "excess": 250.0, "parts": [ [ "door panel", 527.72 ] ], "labour_hours": 2.7, "labour_rate": 56.06, "total": 679.08, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing" ] }, "review": { "ok": false, "send_back_to": "extractor", "reasons": [ "estimate lines add up to 679.08, stated total 859.08" ] }, "recommendation": null, "cost": { "tokens": 2417, "dollars": 0.00046425 }, "path": [ "extractor", "investigator", "reviewer", "extractor", "investigator" ] }, { "claim": "CLM-0016", "step": 6, "node": "investigator", "status": "running", "strict": true, "lookups": 2, "send_backs": 2, "extracted": { "policy": "POL-679151", "vehicle": "A93 XKR", "loss_date": "2025-07-21", "policy_start": "2025-02-17", "policy_end": "2026-06-17", "limit": 3700.0, "excess": 250.0, "parts": [ [ "door panel", 527.72 ] ], "labour_hours": 2.7, "labour_rate": 56.06, "total": 679.08, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing" ] }, "review": { "ok": false, "send_back_to": "investigator", "reasons": [ "prior-claims check did not run" ] }, "recommendation": null, "cost": { "tokens": 2890, "dollars": 0.00054555 }, "path": [ "extractor", "investigator", "reviewer", "extractor", "investigator", "reviewer" ] }, { "claim": "CLM-0016", "step": 7, "node": "reviewer", "status": "running", "strict": true, "lookups": 3, "send_backs": 2, "extracted": { "policy": "POL-679151", "vehicle": "A93 XKR", "loss_date": "2025-07-21", "policy_start": "2025-02-17", "policy_end": "2026-06-17", "limit": 3700.0, "excess": 250.0, "parts": [ [ "door panel", 527.72 ] ], "labour_hours": 2.7, "labour_rate": 56.06, "total": 679.08, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing" ] }, "review": { "ok": false, "send_back_to": "investigator", "reasons": [ "prior-claims check did not run" ] }, "recommendation": null, "cost": { "tokens": 3338, "dollars": 0.00062625 }, "path": [ "extractor", "investigator", "reviewer", "extractor", "investigator", "reviewer", "investigator" ] }, { "claim": "CLM-0016", "step": 8, "node": "reviewer", "status": "stopped_review_loop", "strict": true, "lookups": 3, "send_backs": 2, "extracted": { "policy": "POL-679151", "vehicle": "A93 XKR", "loss_date": "2025-07-21", "policy_start": "2025-02-17", "policy_end": "2026-06-17", "limit": 3700.0, "excess": 250.0, "parts": [ [ "door panel", 527.72 ] ], "labour_hours": 2.7, "labour_rate": 56.06, "total": 679.08, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing" ] }, "review": { "ok": false, "send_back_to": "investigator", "reasons": [ "prior-claims check did not run" ] }, "recommendation": null, "cost": { "tokens": 3811, "dollars": 0.00070755 }, "path": [ "extractor", "investigator", "reviewer", "extractor", "investigator", "reviewer", "investigator", "reviewer" ] } ] }, { "id": "CLM-0017", "documents": { "fnol": "First notice of loss. Policy POL-242431. Vehicle C29 ZLS. Date of loss 2025-08-02. The insured reports a low-speed impact in a car park; damage to the door panel, radiator.", "policy": "Policy POL-242431. Cover: comprehensive. Start 2025-02-05. End 2026-09-05. Limit 6700.00. Excess 250.00.", "estimate": "Repair estimate for C29 ZLS.\nPart: door panel 509.27\nPart: radiator 253.16\nLabour: 8.7 hours at 61.75\nTotal: 1299.65" }, "prior_claims": [], "planted": [], "steps": [ { "claim": "CLM-0017", "step": 0, "node": "extractor", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": null, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 0, "dollars": 0.0 }, "path": [] }, { "claim": "CLM-0017", "step": 1, "node": "investigator", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": { "policy": "POL-242431", "vehicle": "C29 ZLS", "loss_date": "2025-08-02", "policy_start": "2025-02-05", "policy_end": "2026-09-05", "limit": 6700.0, "excess": 250.0, "parts": [ [ "door panel", 509.27 ], [ "radiator", 253.16 ] ], "labour_hours": 8.7, "labour_rate": 61.75, "total": 1299.65, "missing": [] }, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 533, "dollars": 0.00011325 }, "path": [ "extractor" ] }, { "claim": "CLM-0017", "step": 2, "node": "reviewer", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-242431", "vehicle": "C29 ZLS", "loss_date": "2025-08-02", "policy_start": "2025-02-05", "policy_end": "2026-09-05", "limit": 6700.0, "excess": 250.0, "parts": [ [ "door panel", 509.27 ], [ "radiator", 253.16 ] ], "labour_hours": 8.7, "labour_rate": 61.75, "total": 1299.65, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": null, "recommendation": null, "cost": { "tokens": 990, "dollars": 0.00019665 }, "path": [ "extractor", "investigator" ] }, { "claim": "CLM-0017", "step": 3, "node": "recommend", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-242431", "vehicle": "C29 ZLS", "loss_date": "2025-08-02", "policy_start": "2025-02-05", "policy_end": "2026-09-05", "limit": 6700.0, "excess": 250.0, "parts": [ [ "door panel", 509.27 ], [ "radiator", 253.16 ] ], "labour_hours": 8.7, "labour_rate": 61.75, "total": 1299.65, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": null, "cost": { "tokens": 1460, "dollars": 0.0002721 }, "path": [ "extractor", "investigator", "reviewer" ] }, { "claim": "CLM-0017", "step": 4, "node": "recommend", "status": "awaiting_approval", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-242431", "vehicle": "C29 ZLS", "loss_date": "2025-08-02", "policy_start": "2025-02-05", "policy_end": "2026-09-05", "limit": 6700.0, "excess": 250.0, "parts": [ [ "door panel", 509.27 ], [ "radiator", 253.16 ] ], "labour_hours": 8.7, "labour_rate": 61.75, "total": 1299.65, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": { "decision": "approve", "payout": 1049.65, "reasons": [ "covered, priced in line, no duplicate" ] }, "cost": { "tokens": 1943, "dollars": 0.00035535 }, "path": [ "extractor", "investigator", "reviewer", "recommend" ] } ] }, { "id": "CLM-0018", "documents": { "fnol": "First notice of loss. Policy POL-628638. Vehicle E32 YNS. Date of loss 2025-07-27. The insured reports a collision with a bollard; damage to the tail lamp.", "policy": "Policy POL-628638. Cover: comprehensive. Start 2025-05-06. End 2026-07-06. Limit 3600.00. Excess 250.00." }, "prior_claims": [], "planted": [ "missing_estimate" ], "steps": [ { "claim": "CLM-0018", "step": 0, "node": "extractor", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": null, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 0, "dollars": 0.0 }, "path": [] }, { "claim": "CLM-0018", "step": 1, "node": "investigator", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": { "policy": "POL-628638", "vehicle": "E32 YNS", "loss_date": "2025-07-27", "policy_start": "2025-05-06", "policy_end": "2026-07-06", "limit": 3600.0, "excess": 250.0, "parts": [], "labour_hours": 0.0, "labour_rate": 0.0, "total": null, "missing": [ "estimate" ] }, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 485, "dollars": 0.00010155 }, "path": [ "extractor" ] }, { "claim": "CLM-0018", "step": 2, "node": "reviewer", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-628638", "vehicle": "E32 YNS", "loss_date": "2025-07-27", "policy_start": "2025-05-06", "policy_end": "2026-07-06", "limit": 3600.0, "excess": 250.0, "parts": [], "labour_hours": 0.0, "labour_rate": 0.0, "total": null, "missing": [ "estimate" ] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": null, "recommendation": null, "cost": { "tokens": 932, "dollars": 0.00018345 }, "path": [ "extractor", "investigator" ] }, { "claim": "CLM-0018", "step": 3, "node": "recommend", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-628638", "vehicle": "E32 YNS", "loss_date": "2025-07-27", "policy_start": "2025-05-06", "policy_end": "2026-07-06", "limit": 3600.0, "excess": 250.0, "parts": [], "labour_hours": 0.0, "labour_rate": 0.0, "total": null, "missing": [ "estimate" ] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": null, "cost": { "tokens": 1392, "dollars": 0.0002574 }, "path": [ "extractor", "investigator", "reviewer" ] }, { "claim": "CLM-0018", "step": 4, "node": "recommend", "status": "decided", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-628638", "vehicle": "E32 YNS", "loss_date": "2025-07-27", "policy_start": "2025-05-06", "policy_end": "2026-07-06", "limit": 3600.0, "excess": 250.0, "parts": [], "labour_hours": 0.0, "labour_rate": 0.0, "total": null, "missing": [ "estimate" ] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": { "decision": "refer", "payout": 0.0, "reasons": [ "no repair estimate: request one" ] }, "cost": { "tokens": 1862, "dollars": 0.00033735 }, "path": [ "extractor", "investigator", "reviewer", "recommend" ] } ] }, { "id": "CLM-0019", "documents": { "fnol": "First notice of loss. Policy POL-597875. Vehicle H24 ZMT. Date of loss 2025-08-27. The insured reports a collision with a bollard; damage to the headlamp, door panel.", "policy": "Policy POL-597875. Cover: comprehensive. Start 2025-05-26. End 2026-06-26. Limit 5300.00. Excess 250.00." }, "prior_claims": [ { "policy": "POL-597875", "date": "2025-08-27", "parts": [ "headlamp", "door panel" ] } ], "planted": [ "duplicate_claim", "missing_estimate" ], "steps": [ { "claim": "CLM-0019", "step": 0, "node": "extractor", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": null, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 0, "dollars": 0.0 }, "path": [] }, { "claim": "CLM-0019", "step": 1, "node": "investigator", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": { "policy": "POL-597875", "vehicle": "H24 ZMT", "loss_date": "2025-08-27", "policy_start": "2025-05-26", "policy_end": "2026-06-26", "limit": 5300.0, "excess": 250.0, "parts": [], "labour_hours": 0.0, "labour_rate": 0.0, "total": null, "missing": [ "estimate" ] }, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 488, "dollars": 0.000102 }, "path": [ "extractor" ] }, { "claim": "CLM-0019", "step": 2, "node": "reviewer", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-597875", "vehicle": "H24 ZMT", "loss_date": "2025-08-27", "policy_start": "2025-05-26", "policy_end": "2026-06-26", "limit": 5300.0, "excess": 250.0, "parts": [], "labour_hours": 0.0, "labour_rate": 0.0, "total": null, "missing": [ "estimate" ] }, "findings": { "covered": true, "within_limit": true, "duplicate": true, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": null, "recommendation": null, "cost": { "tokens": 935, "dollars": 0.0001839 }, "path": [ "extractor", "investigator" ] }, { "claim": "CLM-0019", "step": 3, "node": "recommend", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-597875", "vehicle": "H24 ZMT", "loss_date": "2025-08-27", "policy_start": "2025-05-26", "policy_end": "2026-06-26", "limit": 5300.0, "excess": 250.0, "parts": [], "labour_hours": 0.0, "labour_rate": 0.0, "total": null, "missing": [ "estimate" ] }, "findings": { "covered": true, "within_limit": true, "duplicate": true, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": null, "cost": { "tokens": 1395, "dollars": 0.00025785 }, "path": [ "extractor", "investigator", "reviewer" ] }, { "claim": "CLM-0019", "step": 4, "node": "recommend", "status": "decided", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-597875", "vehicle": "H24 ZMT", "loss_date": "2025-08-27", "policy_start": "2025-05-26", "policy_end": "2026-06-26", "limit": 5300.0, "excess": 250.0, "parts": [], "labour_hours": 0.0, "labour_rate": 0.0, "total": null, "missing": [ "estimate" ] }, "findings": { "covered": true, "within_limit": true, "duplicate": true, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": { "decision": "refer", "payout": 0.0, "reasons": [ "no repair estimate: request one" ] }, "cost": { "tokens": 1865, "dollars": 0.0003378 }, "path": [ "extractor", "investigator", "reviewer", "recommend" ] } ] }, { "id": "CLM-0020", "documents": { "fnol": "First notice of loss. Policy POL-549633. Vehicle A54 YNP. Date of loss 2025-09-26. The insured reports a low-speed impact in a car park; damage to the headlamp, radiator.", "policy": "Policy POL-549633. Cover: comprehensive. Start 2025-02-21. End 2026-09-21. Limit 7500.00. Excess 250.00.", "estimate": "Repair estimate for A54 YNP.\nPart: headlamp 767.02\nPart: radiator 682.85\nLabour: 7.2 hours at 148.80\nTotal: 2611.23" }, "prior_claims": [ { "policy": "POL-549633", "date": "2024-12-17", "parts": [ "rear bumper" ] } ], "planted": [ "inflated_estimate" ], "steps": [ { "claim": "CLM-0020", "step": 0, "node": "extractor", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": null, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 0, "dollars": 0.0 }, "path": [] }, { "claim": "CLM-0020", "step": 1, "node": "investigator", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": { "policy": "POL-549633", "vehicle": "A54 YNP", "loss_date": "2025-09-26", "policy_start": "2025-02-21", "policy_end": "2026-09-21", "limit": 7500.0, "excess": 250.0, "parts": [ [ "headlamp", 767.02 ], [ "radiator", 682.85 ] ], "labour_hours": 7.2, "labour_rate": 148.8, "total": 2611.23, "missing": [] }, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 532, "dollars": 0.0001131 }, "path": [ "extractor" ] }, { "claim": "CLM-0020", "step": 2, "node": "reviewer", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-549633", "vehicle": "A54 YNP", "loss_date": "2025-09-26", "policy_start": "2025-02-21", "policy_end": "2026-09-21", "limit": 7500.0, "excess": 250.0, "parts": [ [ "headlamp", 767.02 ], [ "radiator", 682.85 ] ], "labour_hours": 7.2, "labour_rate": 148.8, "total": 2611.23, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [ [ "headlamp", 767.02, 310 ], [ "radiator", 682.85, 290 ], [ "labour rate", 148.8, 62.0 ] ], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": null, "recommendation": null, "cost": { "tokens": 1010, "dollars": 0.0002091 }, "path": [ "extractor", "investigator" ] }, { "claim": "CLM-0020", "step": 3, "node": "extractor", "status": "running", "strict": true, "lookups": 1, "send_backs": 1, "extracted": { "policy": "POL-549633", "vehicle": "A54 YNP", "loss_date": "2025-09-26", "policy_start": "2025-02-21", "policy_end": "2026-09-21", "limit": 7500.0, "excess": 250.0, "parts": [ [ "headlamp", 767.02 ], [ "radiator", 682.85 ] ], "labour_hours": 7.2, "labour_rate": 148.8, "total": 2611.23, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [ [ "headlamp", 767.02, 310 ], [ "radiator", 682.85, 290 ], [ "labour rate", 148.8, 62.0 ] ], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": false, "send_back_to": "extractor", "reasons": [ "estimate lines add up to 2521.23, stated total 2611.23" ] }, "recommendation": null, "cost": { "tokens": 1517, "dollars": 0.00029775 }, "path": [ "extractor", "investigator", "reviewer" ] }, { "claim": "CLM-0020", "step": 4, "node": "investigator", "status": "running", "strict": true, "lookups": 1, "send_backs": 1, "extracted": { "policy": "POL-549633", "vehicle": "A54 YNP", "loss_date": "2025-09-26", "policy_start": "2025-02-21", "policy_end": "2026-09-21", "limit": 7500.0, "excess": 250.0, "parts": [ [ "headlamp", 767.02 ], [ "radiator", 682.85 ] ], "labour_hours": 7.2, "labour_rate": 148.8, "total": 2521.23, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [ [ "headlamp", 767.02, 310 ], [ "radiator", 682.85, 290 ], [ "labour rate", 148.8, 62.0 ] ], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": false, "send_back_to": "extractor", "reasons": [ "estimate lines add up to 2521.23, stated total 2611.23" ] }, "recommendation": null, "cost": { "tokens": 2049, "dollars": 0.00041085 }, "path": [ "extractor", "investigator", "reviewer", "extractor" ] }, { "claim": "CLM-0020", "step": 5, "node": "reviewer", "status": "running", "strict": true, "lookups": 2, "send_backs": 1, "extracted": { "policy": "POL-549633", "vehicle": "A54 YNP", "loss_date": "2025-09-26", "policy_start": "2025-02-21", "policy_end": "2026-09-21", "limit": 7500.0, "excess": 250.0, "parts": [ [ "headlamp", 767.02 ], [ "radiator", 682.85 ] ], "labour_hours": 7.2, "labour_rate": 148.8, "total": 2521.23, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [ [ "headlamp", 767.02, 310 ], [ "radiator", 682.85, 290 ], [ "labour rate", 148.8, 62.0 ] ], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": false, "send_back_to": "extractor", "reasons": [ "estimate lines add up to 2521.23, stated total 2611.23" ] }, "recommendation": null, "cost": { "tokens": 2527, "dollars": 0.00050685 }, "path": [ "extractor", "investigator", "reviewer", "extractor", "investigator" ] }, { "claim": "CLM-0020", "step": 6, "node": "recommend", "status": "running", "strict": true, "lookups": 2, "send_backs": 1, "extracted": { "policy": "POL-549633", "vehicle": "A54 YNP", "loss_date": "2025-09-26", "policy_start": "2025-02-21", "policy_end": "2026-09-21", "limit": 7500.0, "excess": 250.0, "parts": [ [ "headlamp", 767.02 ], [ "radiator", 682.85 ] ], "labour_hours": 7.2, "labour_rate": 148.8, "total": 2521.23, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [ [ "headlamp", 767.02, 310 ], [ "radiator", 682.85, 290 ], [ "labour rate", 148.8, 62.0 ] ], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": null, "cost": { "tokens": 3017, "dollars": 0.0005853 }, "path": [ "extractor", "investigator", "reviewer", "extractor", "investigator", "reviewer" ] }, { "claim": "CLM-0020", "step": 7, "node": "recommend", "status": "decided", "strict": true, "lookups": 2, "send_backs": 1, "extracted": { "policy": "POL-549633", "vehicle": "A54 YNP", "loss_date": "2025-09-26", "policy_start": "2025-02-21", "policy_end": "2026-09-21", "limit": 7500.0, "excess": 250.0, "parts": [ [ "headlamp", 767.02 ], [ "radiator", 682.85 ] ], "labour_hours": 7.2, "labour_rate": 148.8, "total": 2521.23, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [ [ "headlamp", 767.02, 310 ], [ "radiator", 682.85, 290 ], [ "labour rate", 148.8, 62.0 ] ], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": { "decision": "refer", "payout": 0.0, "reasons": [ "headlamp charged 767.02 against a reference of 310.00", "radiator charged 682.85 against a reference of 290.00", "labour rate charged 148.80 against a reference of 62.00" ] }, "cost": { "tokens": 3551, "dollars": 0.00069015 }, "path": [ "extractor", "investigator", "reviewer", "extractor", "investigator", "reviewer", "recommend" ] } ] }, { "id": "CLM-0021", "documents": { "fnol": "First notice of loss. Policy POL-510787. Vehicle H52 ZMR. Date of loss 2025-09-11. The insured reports a rear-end collision at a junction; damage to the tail lamp, radiator, headlamp.", "policy": "Policy POL-510787. Cover: comprehensive. Start 2025-05-12. End 2026-08-12. Limit 300.00. Excess 250.00.", "estimate": "Repair estimate for H52 ZMR.\nPart: tail lamp 169.19\nPart: radiator 325.77\nPart: headlamp 328.26\nLabour: 3.2 hours at 67.25\nTotal: 1038.42" }, "prior_claims": [ { "policy": "POL-510787", "date": "2024-07-17", "parts": [ "wing mirror" ] } ], "planted": [ "over_limit" ], "steps": [ { "claim": "CLM-0021", "step": 0, "node": "extractor", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": null, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 0, "dollars": 0.0 }, "path": [] }, { "claim": "CLM-0021", "step": 1, "node": "investigator", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": { "policy": "POL-510787", "vehicle": "H52 ZMR", "loss_date": "2025-09-11", "policy_start": "2025-05-12", "policy_end": "2026-08-12", "limit": 300.0, "excess": 250.0, "parts": [ [ "tail lamp", 169.19 ], [ "radiator", 325.77 ], [ "headlamp", 328.26 ] ], "labour_hours": 3.2, "labour_rate": 67.25, "total": 1038.42, "missing": [] }, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 546, "dollars": 0.00011745 }, "path": [ "extractor" ] }, { "claim": "CLM-0021", "step": 2, "node": "reviewer", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-510787", "vehicle": "H52 ZMR", "loss_date": "2025-09-11", "policy_start": "2025-05-12", "policy_end": "2026-08-12", "limit": 300.0, "excess": 250.0, "parts": [ [ "tail lamp", 169.19 ], [ "radiator", 325.77 ], [ "headlamp", 328.26 ] ], "labour_hours": 3.2, "labour_rate": 67.25, "total": 1038.42, "missing": [] }, "findings": { "covered": true, "within_limit": false, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": null, "recommendation": null, "cost": { "tokens": 1009, "dollars": 0.0002022 }, "path": [ "extractor", "investigator" ] }, { "claim": "CLM-0021", "step": 3, "node": "recommend", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-510787", "vehicle": "H52 ZMR", "loss_date": "2025-09-11", "policy_start": "2025-05-12", "policy_end": "2026-08-12", "limit": 300.0, "excess": 250.0, "parts": [ [ "tail lamp", 169.19 ], [ "radiator", 325.77 ], [ "headlamp", 328.26 ] ], "labour_hours": 3.2, "labour_rate": 67.25, "total": 1038.42, "missing": [] }, "findings": { "covered": true, "within_limit": false, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": null, "cost": { "tokens": 1484, "dollars": 0.0002784 }, "path": [ "extractor", "investigator", "reviewer" ] }, { "claim": "CLM-0021", "step": 4, "node": "recommend", "status": "awaiting_approval", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-510787", "vehicle": "H52 ZMR", "loss_date": "2025-09-11", "policy_start": "2025-05-12", "policy_end": "2026-08-12", "limit": 300.0, "excess": 250.0, "parts": [ [ "tail lamp", 169.19 ], [ "radiator", 325.77 ], [ "headlamp", 328.26 ] ], "labour_hours": 3.2, "labour_rate": 67.25, "total": 1038.42, "missing": [] }, "findings": { "covered": true, "within_limit": false, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": { "decision": "approve", "payout": 300.0, "reasons": [ "claimed 788.42 exceeds the limit; capped at 300.00", "covered, priced in line, no duplicate" ] }, "cost": { "tokens": 1985, "dollars": 0.0003702 }, "path": [ "extractor", "investigator", "reviewer", "recommend" ] } ] }, { "id": "CLM-0022", "documents": { "fnol": "First notice of loss. Policy POL-962347. Vehicle C59 ZNT. Date of loss 2025-07-14. The insured reports a rear-end collision at a junction; damage to the wing mirror, door panel.", "policy": "Policy POL-962347. Cover: comprehensive. Start 2025-01-04. End 2026-11-04. Limit 8300.00. Excess 250.00." }, "prior_claims": [], "planted": [ "missing_estimate" ], "steps": [ { "claim": "CLM-0022", "step": 0, "node": "extractor", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": null, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 0, "dollars": 0.0 }, "path": [] }, { "claim": "CLM-0022", "step": 1, "node": "investigator", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": { "policy": "POL-962347", "vehicle": "C59 ZNT", "loss_date": "2025-07-14", "policy_start": "2025-01-04", "policy_end": "2026-11-04", "limit": 8300.0, "excess": 250.0, "parts": [], "labour_hours": 0.0, "labour_rate": 0.0, "total": null, "missing": [ "estimate" ] }, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 490, "dollars": 0.0001023 }, "path": [ "extractor" ] }, { "claim": "CLM-0022", "step": 2, "node": "reviewer", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-962347", "vehicle": "C59 ZNT", "loss_date": "2025-07-14", "policy_start": "2025-01-04", "policy_end": "2026-11-04", "limit": 8300.0, "excess": 250.0, "parts": [], "labour_hours": 0.0, "labour_rate": 0.0, "total": null, "missing": [ "estimate" ] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": null, "recommendation": null, "cost": { "tokens": 937, "dollars": 0.0001842 }, "path": [ "extractor", "investigator" ] }, { "claim": "CLM-0022", "step": 3, "node": "recommend", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-962347", "vehicle": "C59 ZNT", "loss_date": "2025-07-14", "policy_start": "2025-01-04", "policy_end": "2026-11-04", "limit": 8300.0, "excess": 250.0, "parts": [], "labour_hours": 0.0, "labour_rate": 0.0, "total": null, "missing": [ "estimate" ] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": null, "cost": { "tokens": 1397, "dollars": 0.00025815 }, "path": [ "extractor", "investigator", "reviewer" ] }, { "claim": "CLM-0022", "step": 4, "node": "recommend", "status": "decided", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-962347", "vehicle": "C59 ZNT", "loss_date": "2025-07-14", "policy_start": "2025-01-04", "policy_end": "2026-11-04", "limit": 8300.0, "excess": 250.0, "parts": [], "labour_hours": 0.0, "labour_rate": 0.0, "total": null, "missing": [ "estimate" ] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": { "decision": "refer", "payout": 0.0, "reasons": [ "no repair estimate: request one" ] }, "cost": { "tokens": 1867, "dollars": 0.0003381 }, "path": [ "extractor", "investigator", "reviewer", "recommend" ] } ] }, { "id": "CLM-0023", "documents": { "fnol": "First notice of loss. Policy POL-895469. Vehicle G58 YLT. Date of loss 2025-08-05. The insured reports a rear-end collision at a junction; damage to the door panel.", "policy": "Policy POL-895469. Cover: comprehensive. Start 2025-04-18. End 2026-10-18. Limit 3500.00. Excess 250.00." }, "prior_claims": [ { "policy": "POL-895469", "date": "2024-03-15", "parts": [ "headlamp" ] } ], "planted": [ "missing_estimate" ], "steps": [ { "claim": "CLM-0023", "step": 0, "node": "extractor", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": null, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 0, "dollars": 0.0 }, "path": [] }, { "claim": "CLM-0023", "step": 1, "node": "investigator", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": { "policy": "POL-895469", "vehicle": "G58 YLT", "loss_date": "2025-08-05", "policy_start": "2025-04-18", "policy_end": "2026-10-18", "limit": 3500.0, "excess": 250.0, "parts": [], "labour_hours": 0.0, "labour_rate": 0.0, "total": null, "missing": [ "estimate" ] }, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 487, "dollars": 0.00010185 }, "path": [ "extractor" ] }, { "claim": "CLM-0023", "step": 2, "node": "reviewer", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-895469", "vehicle": "G58 YLT", "loss_date": "2025-08-05", "policy_start": "2025-04-18", "policy_end": "2026-10-18", "limit": 3500.0, "excess": 250.0, "parts": [], "labour_hours": 0.0, "labour_rate": 0.0, "total": null, "missing": [ "estimate" ] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": null, "recommendation": null, "cost": { "tokens": 934, "dollars": 0.00018375 }, "path": [ "extractor", "investigator" ] }, { "claim": "CLM-0023", "step": 3, "node": "recommend", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-895469", "vehicle": "G58 YLT", "loss_date": "2025-08-05", "policy_start": "2025-04-18", "policy_end": "2026-10-18", "limit": 3500.0, "excess": 250.0, "parts": [], "labour_hours": 0.0, "labour_rate": 0.0, "total": null, "missing": [ "estimate" ] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": null, "cost": { "tokens": 1394, "dollars": 0.0002577 }, "path": [ "extractor", "investigator", "reviewer" ] }, { "claim": "CLM-0023", "step": 4, "node": "recommend", "status": "decided", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-895469", "vehicle": "G58 YLT", "loss_date": "2025-08-05", "policy_start": "2025-04-18", "policy_end": "2026-10-18", "limit": 3500.0, "excess": 250.0, "parts": [], "labour_hours": 0.0, "labour_rate": 0.0, "total": null, "missing": [ "estimate" ] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": { "decision": "refer", "payout": 0.0, "reasons": [ "no repair estimate: request one" ] }, "cost": { "tokens": 1864, "dollars": 0.00033765 }, "path": [ "extractor", "investigator", "reviewer", "recommend" ] } ] }, { "id": "CLM-0024", "documents": { "fnol": "First notice of loss. Policy POL-983216. Vehicle G68 YKS. Date of loss 2025-08-25. The insured reports a collision with a bollard; damage to the front bumper, alloy wheel, windscreen, bonnet.", "policy": "Policy POL-983216. Cover: comprehensive. Start 2025-02-27. End 2026-12-27. Limit 8800.00. Excess 250.00.", "estimate": "Repair estimate for G68 YKS.\nPart: front bumper 401.95\nPart: alloy wheel 238.72\nPart: windscreen 348.38\nPart: bonnet 551.78\nLabour: 6.4 hours at 62.96\nTotal: 1943.77" }, "prior_claims": [], "planted": [], "steps": [ { "claim": "CLM-0024", "step": 0, "node": "extractor", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": null, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 0, "dollars": 0.0 }, "path": [] }, { "claim": "CLM-0024", "step": 1, "node": "investigator", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": { "policy": "POL-983216", "vehicle": "G68 YKS", "loss_date": "2025-08-25", "policy_start": "2025-02-27", "policy_end": "2026-12-27", "limit": 8800.0, "excess": 250.0, "parts": [ [ "front bumper", 401.95 ], [ "alloy wheel", 238.72 ], [ "windscreen", 348.38 ], [ "bonnet", 551.78 ] ], "labour_hours": 6.4, "labour_rate": 62.96, "total": 1943.77, "missing": [] }, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 563, "dollars": 0.00012315 }, "path": [ "extractor" ] }, { "claim": "CLM-0024", "step": 2, "node": "reviewer", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-983216", "vehicle": "G68 YKS", "loss_date": "2025-08-25", "policy_start": "2025-02-27", "policy_end": "2026-12-27", "limit": 8800.0, "excess": 250.0, "parts": [ [ "front bumper", 401.95 ], [ "alloy wheel", 238.72 ], [ "windscreen", 348.38 ], [ "bonnet", 551.78 ] ], "labour_hours": 6.4, "labour_rate": 62.96, "total": 1943.77, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing" ] }, "review": null, "recommendation": null, "cost": { "tokens": 1029, "dollars": 0.00020655 }, "path": [ "extractor", "investigator" ] }, { "claim": "CLM-0024", "step": 3, "node": "investigator", "status": "running", "strict": false, "lookups": 1, "send_backs": 1, "extracted": { "policy": "POL-983216", "vehicle": "G68 YKS", "loss_date": "2025-08-25", "policy_start": "2025-02-27", "policy_end": "2026-12-27", "limit": 8800.0, "excess": 250.0, "parts": [ [ "front bumper", 401.95 ], [ "alloy wheel", 238.72 ], [ "windscreen", 348.38 ], [ "bonnet", 551.78 ] ], "labour_hours": 6.4, "labour_rate": 62.96, "total": 1943.77, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing" ] }, "review": { "ok": false, "send_back_to": "investigator", "reasons": [ "prior-claims check did not run" ] }, "recommendation": null, "cost": { "tokens": 1520, "dollars": 0.00029055 }, "path": [ "extractor", "investigator", "reviewer" ] }, { "claim": "CLM-0024", "step": 4, "node": "reviewer", "status": "running", "strict": false, "lookups": 2, "send_backs": 1, "extracted": { "policy": "POL-983216", "vehicle": "G68 YKS", "loss_date": "2025-08-25", "policy_start": "2025-02-27", "policy_end": "2026-12-27", "limit": 8800.0, "excess": 250.0, "parts": [ [ "front bumper", 401.95 ], [ "alloy wheel", 238.72 ], [ "windscreen", 348.38 ], [ "bonnet", 551.78 ] ], "labour_hours": 6.4, "labour_rate": 62.96, "total": 1943.77, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": false, "send_back_to": "investigator", "reasons": [ "prior-claims check did not run" ] }, "recommendation": null, "cost": { "tokens": 1989, "dollars": 0.00037575 }, "path": [ "extractor", "investigator", "reviewer", "investigator" ] }, { "claim": "CLM-0024", "step": 5, "node": "recommend", "status": "running", "strict": false, "lookups": 2, "send_backs": 1, "extracted": { "policy": "POL-983216", "vehicle": "G68 YKS", "loss_date": "2025-08-25", "policy_start": "2025-02-27", "policy_end": "2026-12-27", "limit": 8800.0, "excess": 250.0, "parts": [ [ "front bumper", 401.95 ], [ "alloy wheel", 238.72 ], [ "windscreen", 348.38 ], [ "bonnet", 551.78 ] ], "labour_hours": 6.4, "labour_rate": 62.96, "total": 1943.77, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": null, "cost": { "tokens": 2471, "dollars": 0.000453 }, "path": [ "extractor", "investigator", "reviewer", "investigator", "reviewer" ] }, { "claim": "CLM-0024", "step": 6, "node": "recommend", "status": "awaiting_approval", "strict": false, "lookups": 2, "send_backs": 1, "extracted": { "policy": "POL-983216", "vehicle": "G68 YKS", "loss_date": "2025-08-25", "policy_start": "2025-02-27", "policy_end": "2026-12-27", "limit": 8800.0, "excess": 250.0, "parts": [ [ "front bumper", 401.95 ], [ "alloy wheel", 238.72 ], [ "windscreen", 348.38 ], [ "bonnet", 551.78 ] ], "labour_hours": 6.4, "labour_rate": 62.96, "total": 1943.77, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": { "decision": "approve", "payout": 1693.77, "reasons": [ "covered, priced in line, no duplicate" ] }, "cost": { "tokens": 2966, "dollars": 0.00053805 }, "path": [ "extractor", "investigator", "reviewer", "investigator", "reviewer", "recommend" ] } ] }, { "id": "CLM-0025", "documents": { "fnol": "First notice of loss. Policy POL-411259. Vehicle E50 YNT. Date of loss 2025-08-06. The insured reports a low-speed impact in a car park; damage to the radiator, windscreen.", "policy": "Policy POL-411259. Cover: comprehensive. Start 2025-03-10. End 2026-07-10. Limit 4900.00. Excess 250.00.", "estimate": "Repair estimate for E50 YNT.\nPart: radiator 304.21\nPart: windscreen 409.86\nLabour: 2.2 hours at 65.59\nTotal: 858.37" }, "prior_claims": [], "planted": [], "steps": [ { "claim": "CLM-0025", "step": 0, "node": "extractor", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": null, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 0, "dollars": 0.0 }, "path": [] }, { "claim": "CLM-0025", "step": 1, "node": "investigator", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": { "policy": "POL-411259", "vehicle": "E50 YNT", "loss_date": "2025-08-06", "policy_start": "2025-03-10", "policy_end": "2026-07-10", "limit": 4900.0, "excess": 250.0, "parts": [ [ "radiator", 304.21 ], [ "windscreen", 409.86 ] ], "labour_hours": 2.2, "labour_rate": 65.59, "total": 858.37, "missing": [] }, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 533, "dollars": 0.00011325 }, "path": [ "extractor" ] }, { "claim": "CLM-0025", "step": 2, "node": "reviewer", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-411259", "vehicle": "E50 YNT", "loss_date": "2025-08-06", "policy_start": "2025-03-10", "policy_end": "2026-07-10", "limit": 4900.0, "excess": 250.0, "parts": [ [ "radiator", 304.21 ], [ "windscreen", 409.86 ] ], "labour_hours": 2.2, "labour_rate": 65.59, "total": 858.37, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": null, "recommendation": null, "cost": { "tokens": 990, "dollars": 0.00019665 }, "path": [ "extractor", "investigator" ] }, { "claim": "CLM-0025", "step": 3, "node": "recommend", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-411259", "vehicle": "E50 YNT", "loss_date": "2025-08-06", "policy_start": "2025-03-10", "policy_end": "2026-07-10", "limit": 4900.0, "excess": 250.0, "parts": [ [ "radiator", 304.21 ], [ "windscreen", 409.86 ] ], "labour_hours": 2.2, "labour_rate": 65.59, "total": 858.37, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": null, "cost": { "tokens": 1460, "dollars": 0.0002721 }, "path": [ "extractor", "investigator", "reviewer" ] }, { "claim": "CLM-0025", "step": 4, "node": "recommend", "status": "awaiting_approval", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-411259", "vehicle": "E50 YNT", "loss_date": "2025-08-06", "policy_start": "2025-03-10", "policy_end": "2026-07-10", "limit": 4900.0, "excess": 250.0, "parts": [ [ "radiator", 304.21 ], [ "windscreen", 409.86 ] ], "labour_hours": 2.2, "labour_rate": 65.59, "total": 858.37, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": { "decision": "approve", "payout": 608.37, "reasons": [ "covered, priced in line, no duplicate" ] }, "cost": { "tokens": 1942, "dollars": 0.00035475 }, "path": [ "extractor", "investigator", "reviewer", "recommend" ] } ] }, { "id": "CLM-0026", "documents": { "fnol": "First notice of loss. Policy POL-141916. Vehicle G60 YMS. Date of loss 2025-07-20. The insured reports a collision with a bollard; damage to the alloy wheel, headlamp, rear bumper.", "policy": "Policy POL-141916. Cover: comprehensive. Start 2025-05-22. End 2026-08-22. Limit 4900.00. Excess 250.00.", "estimate": "Repair estimate for G60 YMS.\nPart: alloy wheel 268.75\nPart: headlamp 308.55\nPart: rear bumper 426.50\nLabour: 4.2 hours at 56.09\nTotal: 1239.38" }, "prior_claims": [], "planted": [], "steps": [ { "claim": "CLM-0026", "step": 0, "node": "extractor", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": null, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 0, "dollars": 0.0 }, "path": [] }, { "claim": "CLM-0026", "step": 1, "node": "investigator", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": { "policy": "POL-141916", "vehicle": "G60 YMS", "loss_date": "2025-07-20", "policy_start": "2025-05-22", "policy_end": "2026-08-22", "limit": 4900.0, "excess": 250.0, "parts": [ [ "alloy wheel", 268.75 ], [ "headlamp", 308.55 ], [ "rear bumper", 426.5 ] ], "labour_hours": 4.2, "labour_rate": 56.09, "total": 1239.38, "missing": [] }, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 548, "dollars": 0.0001182 }, "path": [ "extractor" ] }, { "claim": "CLM-0026", "step": 2, "node": "reviewer", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-141916", "vehicle": "G60 YMS", "loss_date": "2025-07-20", "policy_start": "2025-05-22", "policy_end": "2026-08-22", "limit": 4900.0, "excess": 250.0, "parts": [ [ "alloy wheel", 268.75 ], [ "headlamp", 308.55 ], [ "rear bumper", 426.5 ] ], "labour_hours": 4.2, "labour_rate": 56.09, "total": 1239.38, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing" ] }, "review": null, "recommendation": null, "cost": { "tokens": 1008, "dollars": 0.0002007 }, "path": [ "extractor", "investigator" ] }, { "claim": "CLM-0026", "step": 3, "node": "investigator", "status": "running", "strict": false, "lookups": 1, "send_backs": 1, "extracted": { "policy": "POL-141916", "vehicle": "G60 YMS", "loss_date": "2025-07-20", "policy_start": "2025-05-22", "policy_end": "2026-08-22", "limit": 4900.0, "excess": 250.0, "parts": [ [ "alloy wheel", 268.75 ], [ "headlamp", 308.55 ], [ "rear bumper", 426.5 ] ], "labour_hours": 4.2, "labour_rate": 56.09, "total": 1239.38, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing" ] }, "review": { "ok": false, "send_back_to": "investigator", "reasons": [ "prior-claims check did not run" ] }, "recommendation": null, "cost": { "tokens": 1493, "dollars": 0.0002838 }, "path": [ "extractor", "investigator", "reviewer" ] }, { "claim": "CLM-0026", "step": 4, "node": "reviewer", "status": "running", "strict": false, "lookups": 2, "send_backs": 1, "extracted": { "policy": "POL-141916", "vehicle": "G60 YMS", "loss_date": "2025-07-20", "policy_start": "2025-05-22", "policy_end": "2026-08-22", "limit": 4900.0, "excess": 250.0, "parts": [ [ "alloy wheel", 268.75 ], [ "headlamp", 308.55 ], [ "rear bumper", 426.5 ] ], "labour_hours": 4.2, "labour_rate": 56.09, "total": 1239.38, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": false, "send_back_to": "investigator", "reasons": [ "prior-claims check did not run" ] }, "recommendation": null, "cost": { "tokens": 1956, "dollars": 0.0003681 }, "path": [ "extractor", "investigator", "reviewer", "investigator" ] }, { "claim": "CLM-0026", "step": 5, "node": "recommend", "status": "running", "strict": false, "lookups": 2, "send_backs": 1, "extracted": { "policy": "POL-141916", "vehicle": "G60 YMS", "loss_date": "2025-07-20", "policy_start": "2025-05-22", "policy_end": "2026-08-22", "limit": 4900.0, "excess": 250.0, "parts": [ [ "alloy wheel", 268.75 ], [ "headlamp", 308.55 ], [ "rear bumper", 426.5 ] ], "labour_hours": 4.2, "labour_rate": 56.09, "total": 1239.38, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": null, "cost": { "tokens": 2432, "dollars": 0.00044445 }, "path": [ "extractor", "investigator", "reviewer", "investigator", "reviewer" ] }, { "claim": "CLM-0026", "step": 6, "node": "recommend", "status": "awaiting_approval", "strict": false, "lookups": 2, "send_backs": 1, "extracted": { "policy": "POL-141916", "vehicle": "G60 YMS", "loss_date": "2025-07-20", "policy_start": "2025-05-22", "policy_end": "2026-08-22", "limit": 4900.0, "excess": 250.0, "parts": [ [ "alloy wheel", 268.75 ], [ "headlamp", 308.55 ], [ "rear bumper", 426.5 ] ], "labour_hours": 4.2, "labour_rate": 56.09, "total": 1239.38, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": { "decision": "approve", "payout": 989.38, "reasons": [ "covered, priced in line, no duplicate" ] }, "cost": { "tokens": 2920, "dollars": 0.000528 }, "path": [ "extractor", "investigator", "reviewer", "investigator", "reviewer", "recommend" ] } ] }, { "id": "CLM-0027", "documents": { "fnol": "First notice of loss. Policy POL-975417. Vehicle G97 ZKS. Date of loss 2025-08-12. The insured reports a rear-end collision at a junction; damage to the windscreen, door panel, tail lamp, alloy wheel.", "policy": "Policy POL-975417. Cover: comprehensive. Start 2025-04-01. End 2025-02-01. Limit 4200.00. Excess 250.00.", "estimate": "Repair estimate for G97 ZKS.\nPart: windscreen 339.97\nPart: door panel 465.15\nPart: tail lamp 128.29\nPart: alloy wheel 219.04\nLabour: 7.2 hours at 58.71\nTotal: 1575.16" }, "prior_claims": [], "planted": [ "lapsed_policy" ], "steps": [ { "claim": "CLM-0027", "step": 0, "node": "extractor", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": null, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 0, "dollars": 0.0 }, "path": [] }, { "claim": "CLM-0027", "step": 1, "node": "investigator", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": { "policy": "POL-975417", "vehicle": "G97 ZKS", "loss_date": "2025-08-12", "policy_start": "2025-04-01", "policy_end": "2025-02-01", "limit": 4200.0, "excess": 250.0, "parts": [ [ "windscreen", 339.97 ], [ "door panel", 465.15 ], [ "tail lamp", 128.29 ], [ "alloy wheel", 219.04 ] ], "labour_hours": 7.2, "labour_rate": 58.71, "total": 1575.16, "missing": [] }, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 566, "dollars": 0.00012405 }, "path": [ "extractor" ] }, { "claim": "CLM-0027", "step": 2, "node": "reviewer", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-975417", "vehicle": "G97 ZKS", "loss_date": "2025-08-12", "policy_start": "2025-04-01", "policy_end": "2025-02-01", "limit": 4200.0, "excess": 250.0, "parts": [ [ "windscreen", 339.97 ], [ "door panel", 465.15 ], [ "tail lamp", 128.29 ], [ "alloy wheel", 219.04 ] ], "labour_hours": 7.2, "labour_rate": 58.71, "total": 1575.16, "missing": [] }, "findings": { "covered": false, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": null, "recommendation": null, "cost": { "tokens": 1037, "dollars": 0.00021 }, "path": [ "extractor", "investigator" ] }, { "claim": "CLM-0027", "step": 3, "node": "recommend", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-975417", "vehicle": "G97 ZKS", "loss_date": "2025-08-12", "policy_start": "2025-04-01", "policy_end": "2025-02-01", "limit": 4200.0, "excess": 250.0, "parts": [ [ "windscreen", 339.97 ], [ "door panel", 465.15 ], [ "tail lamp", 128.29 ], [ "alloy wheel", 219.04 ] ], "labour_hours": 7.2, "labour_rate": 58.71, "total": 1575.16, "missing": [] }, "findings": { "covered": false, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": null, "cost": { "tokens": 1520, "dollars": 0.0002874 }, "path": [ "extractor", "investigator", "reviewer" ] }, { "claim": "CLM-0027", "step": 4, "node": "recommend", "status": "decided", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-975417", "vehicle": "G97 ZKS", "loss_date": "2025-08-12", "policy_start": "2025-04-01", "policy_end": "2025-02-01", "limit": 4200.0, "excess": 250.0, "parts": [ [ "windscreen", 339.97 ], [ "door panel", 465.15 ], [ "tail lamp", 128.29 ], [ "alloy wheel", 219.04 ] ], "labour_hours": 7.2, "labour_rate": 58.71, "total": 1575.16, "missing": [] }, "findings": { "covered": false, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": { "decision": "deny", "payout": 0.0, "reasons": [ "loss on 2025-08-12 is outside the policy (2025-04-01 to 2025-02-01)" ] }, "cost": { "tokens": 2021, "dollars": 0.0003756 }, "path": [ "extractor", "investigator", "reviewer", "recommend" ] } ] }, { "id": "CLM-0028", "documents": { "fnol": "First notice of loss. Policy POL-836259. Vehicle G45 YKR. Date of loss 2025-08-04. The insured reports a low-speed impact in a car park; damage to the door panel, windscreen.", "policy": "Policy POL-836259. Cover: comprehensive. Start 2025-06-17. End 2026-08-17. Limit 700.00. Excess 250.00." }, "prior_claims": [], "planted": [ "missing_estimate", "over_limit" ], "steps": [ { "claim": "CLM-0028", "step": 0, "node": "extractor", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": null, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 0, "dollars": 0.0 }, "path": [] }, { "claim": "CLM-0028", "step": 1, "node": "investigator", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": { "policy": "POL-836259", "vehicle": "G45 YKR", "loss_date": "2025-08-04", "policy_start": "2025-06-17", "policy_end": "2026-08-17", "limit": 700.0, "excess": 250.0, "parts": [], "labour_hours": 0.0, "labour_rate": 0.0, "total": null, "missing": [ "estimate" ] }, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 489, "dollars": 0.00010215 }, "path": [ "extractor" ] }, { "claim": "CLM-0028", "step": 2, "node": "reviewer", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-836259", "vehicle": "G45 YKR", "loss_date": "2025-08-04", "policy_start": "2025-06-17", "policy_end": "2026-08-17", "limit": 700.0, "excess": 250.0, "parts": [], "labour_hours": 0.0, "labour_rate": 0.0, "total": null, "missing": [ "estimate" ] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing" ] }, "review": null, "recommendation": null, "cost": { "tokens": 933, "dollars": 0.00018225 }, "path": [ "extractor", "investigator" ] }, { "claim": "CLM-0028", "step": 3, "node": "investigator", "status": "running", "strict": false, "lookups": 1, "send_backs": 1, "extracted": { "policy": "POL-836259", "vehicle": "G45 YKR", "loss_date": "2025-08-04", "policy_start": "2025-06-17", "policy_end": "2026-08-17", "limit": 700.0, "excess": 250.0, "parts": [], "labour_hours": 0.0, "labour_rate": 0.0, "total": null, "missing": [ "estimate" ] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing" ] }, "review": { "ok": false, "send_back_to": "investigator", "reasons": [ "prior-claims check did not run" ] }, "recommendation": null, "cost": { "tokens": 1402, "dollars": 0.00026295 }, "path": [ "extractor", "investigator", "reviewer" ] }, { "claim": "CLM-0028", "step": 4, "node": "reviewer", "status": "running", "strict": false, "lookups": 2, "send_backs": 1, "extracted": { "policy": "POL-836259", "vehicle": "G45 YKR", "loss_date": "2025-08-04", "policy_start": "2025-06-17", "policy_end": "2026-08-17", "limit": 700.0, "excess": 250.0, "parts": [], "labour_hours": 0.0, "labour_rate": 0.0, "total": null, "missing": [ "estimate" ] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": false, "send_back_to": "investigator", "reasons": [ "prior-claims check did not run" ] }, "recommendation": null, "cost": { "tokens": 1849, "dollars": 0.00034485 }, "path": [ "extractor", "investigator", "reviewer", "investigator" ] }, { "claim": "CLM-0028", "step": 5, "node": "recommend", "status": "running", "strict": false, "lookups": 2, "send_backs": 1, "extracted": { "policy": "POL-836259", "vehicle": "G45 YKR", "loss_date": "2025-08-04", "policy_start": "2025-06-17", "policy_end": "2026-08-17", "limit": 700.0, "excess": 250.0, "parts": [], "labour_hours": 0.0, "labour_rate": 0.0, "total": null, "missing": [ "estimate" ] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": null, "cost": { "tokens": 2309, "dollars": 0.0004188 }, "path": [ "extractor", "investigator", "reviewer", "investigator", "reviewer" ] }, { "claim": "CLM-0028", "step": 6, "node": "recommend", "status": "decided", "strict": false, "lookups": 2, "send_backs": 1, "extracted": { "policy": "POL-836259", "vehicle": "G45 YKR", "loss_date": "2025-08-04", "policy_start": "2025-06-17", "policy_end": "2026-08-17", "limit": 700.0, "excess": 250.0, "parts": [], "labour_hours": 0.0, "labour_rate": 0.0, "total": null, "missing": [ "estimate" ] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": { "decision": "refer", "payout": 0.0, "reasons": [ "no repair estimate: request one" ] }, "cost": { "tokens": 2779, "dollars": 0.00049875 }, "path": [ "extractor", "investigator", "reviewer", "investigator", "reviewer", "recommend" ] } ] }, { "id": "CLM-0029", "documents": { "fnol": "First notice of loss. Policy POL-979106. Vehicle H62 ZNP. Date of loss 2025-09-07. The insured reports a collision with a bollard; damage to the door panel, headlamp.", "policy": "Policy POL-979106. Cover: comprehensive. Start 2025-02-26. End 2026-10-26. Limit 8900.00. Excess 250.00.", "estimate": "Repair estimate for H62 ZNP.\nPart: door panel 617.76\nPart: headlamp 345.04\nLabour: 6.9 hours at 67.89\nTotal: 1431.24" }, "prior_claims": [ { "policy": "POL-979106", "date": "2024-04-19", "parts": [ "alloy wheel" ] } ], "planted": [], "steps": [ { "claim": "CLM-0029", "step": 0, "node": "extractor", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": null, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 0, "dollars": 0.0 }, "path": [] }, { "claim": "CLM-0029", "step": 1, "node": "investigator", "status": "running", "strict": false, "lookups": 0, "send_backs": 0, "extracted": { "policy": "POL-979106", "vehicle": "H62 ZNP", "loss_date": "2025-09-07", "policy_start": "2025-02-26", "policy_end": "2026-10-26", "limit": 8900.0, "excess": 250.0, "parts": [ [ "door panel", 617.76 ], [ "headlamp", 345.04 ] ], "labour_hours": 6.9, "labour_rate": 67.89, "total": 1431.24, "missing": [] }, "findings": null, "review": null, "recommendation": null, "cost": { "tokens": 532, "dollars": 0.0001131 }, "path": [ "extractor" ] }, { "claim": "CLM-0029", "step": 2, "node": "reviewer", "status": "running", "strict": false, "lookups": 1, "send_backs": 0, "extracted": { "policy": "POL-979106", "vehicle": "H62 ZNP", "loss_date": "2025-09-07", "policy_start": "2025-02-26", "policy_end": "2026-10-26", "limit": 8900.0, "excess": 250.0, "parts": [ [ "door panel", 617.76 ], [ "headlamp", 345.04 ] ], "labour_hours": 6.9, "labour_rate": 67.89, "total": 1431.24, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing" ] }, "review": null, "recommendation": null, "cost": { "tokens": 986, "dollars": 0.0001947 }, "path": [ "extractor", "investigator" ] }, { "claim": "CLM-0029", "step": 3, "node": "investigator", "status": "running", "strict": false, "lookups": 1, "send_backs": 1, "extracted": { "policy": "POL-979106", "vehicle": "H62 ZNP", "loss_date": "2025-09-07", "policy_start": "2025-02-26", "policy_end": "2026-10-26", "limit": 8900.0, "excess": 250.0, "parts": [ [ "door panel", 617.76 ], [ "headlamp", 345.04 ] ], "labour_hours": 6.9, "labour_rate": 67.89, "total": 1431.24, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing" ] }, "review": { "ok": false, "send_back_to": "investigator", "reasons": [ "prior-claims check did not run" ] }, "recommendation": null, "cost": { "tokens": 1465, "dollars": 0.0002769 }, "path": [ "extractor", "investigator", "reviewer" ] }, { "claim": "CLM-0029", "step": 4, "node": "reviewer", "status": "running", "strict": false, "lookups": 2, "send_backs": 1, "extracted": { "policy": "POL-979106", "vehicle": "H62 ZNP", "loss_date": "2025-09-07", "policy_start": "2025-02-26", "policy_end": "2026-10-26", "limit": 8900.0, "excess": 250.0, "parts": [ [ "door panel", 617.76 ], [ "headlamp", 345.04 ] ], "labour_hours": 6.9, "labour_rate": 67.89, "total": 1431.24, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": false, "send_back_to": "investigator", "reasons": [ "prior-claims check did not run" ] }, "recommendation": null, "cost": { "tokens": 1922, "dollars": 0.0003603 }, "path": [ "extractor", "investigator", "reviewer", "investigator" ] }, { "claim": "CLM-0029", "step": 5, "node": "recommend", "status": "running", "strict": false, "lookups": 2, "send_backs": 1, "extracted": { "policy": "POL-979106", "vehicle": "H62 ZNP", "loss_date": "2025-09-07", "policy_start": "2025-02-26", "policy_end": "2026-10-26", "limit": 8900.0, "excess": 250.0, "parts": [ [ "door panel", 617.76 ], [ "headlamp", 345.04 ] ], "labour_hours": 6.9, "labour_rate": 67.89, "total": 1431.24, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": null, "cost": { "tokens": 2392, "dollars": 0.00043575 }, "path": [ "extractor", "investigator", "reviewer", "investigator", "reviewer" ] }, { "claim": "CLM-0029", "step": 6, "node": "recommend", "status": "awaiting_approval", "strict": false, "lookups": 2, "send_backs": 1, "extracted": { "policy": "POL-979106", "vehicle": "H62 ZNP", "loss_date": "2025-09-07", "policy_start": "2025-02-26", "policy_end": "2026-10-26", "limit": 8900.0, "excess": 250.0, "parts": [ [ "door panel", 617.76 ], [ "headlamp", 345.04 ] ], "labour_hours": 6.9, "labour_rate": 67.89, "total": 1431.24, "missing": [] }, "findings": { "covered": true, "within_limit": true, "duplicate": false, "overpriced": [], "checked": [ "coverage", "limit", "pricing", "duplicate" ] }, "review": { "ok": true, "send_back_to": "", "reasons": [] }, "recommendation": { "decision": "approve", "payout": 1181.24, "reasons": [ "covered, priced in line, no duplicate" ] }, "cost": { "tokens": 2875, "dollars": 0.000519 }, "path": [ "extractor", "investigator", "reviewer", "investigator", "reviewer", "recommend" ] } ] } ] }