Claims-Denial Case — Mission 8 Evidence

Claims-Denial Case — Mission 8 Evidence: a bounded synthetic evidence reveal for the Lumyn FDE School claims-denial practice case.

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Reveal this fictional source only after completing the Mission 7 security-boundary artifact. Treat rec-0.4.3 as a distinct exact candidate. No result from rec-0.4.2 transfers unless it is explicitly rerun and rebound below.

S8 — Corrected candidate rec-0.4.3 and scoped dispositions

Exact candidate binding:

  • Repository and commit: aster/claims-recommendation@9f3c1ab.
  • Synthetic exercise build digest: sha256:2366a56d7274bf6941dbc53303dfcdb17b99afcce0b48b0793148f0b71501343.
  • Dependency lock: pnpm-lock-r18, digest sha256:590830808498acf24494db5c10e03c4254906e56548fbaa498da40091e4a4b3a.
  • Schema and migration: recommendation-schema-v4, 2026-08-16-queue-r2.
  • Deployment environment: aster-northlake-canary-ca-central-1.
  • Configuration: northlake-recommend-v2.
  • Data-context manifest: nl-context-r7.
  • Model route and prompt: correction-recommendation-v3, recommendation-prompt-r12.
  • Effect-boundary policy: claims security policy revision 8, digest sha256:f4049245a11d897ef576bb329207604ba0aae03680d5208e0de93e06b00498ca.
  • Recommendation-write capability: workbench-recommendation-write-v2, digest sha256:de77b2ba38f5a0d148a7f590604d450557b974cd5fe8648f00d332eacf9eff6a.
  • Evaluation report: eval-2026-08-18-r1.
  • Security report: security-2026-08-18-r1.

New evidence for this successor candidate:

The expert-review threshold was set before rerun at 42 of 45 acceptable recommendations with zero critical correction errors.

Lane Bound result for rec-0.4.3 Remaining limitation
Missing-note behavior 10/10 route to manual review without a generated rationale NorthLake English-language cases only
Expert correction review 43/45 candidate recommendations acceptable after independent adjudication; two require correction Small pre-pilot set under correction-rubric-r1
Duplicate recommendation 20/20 retries return one record for the same case and evidence revision Workbench capability v2 only
Timeout and recovery 8/8 reconcile workbench readback before retry Claims submission is outside this capability
Cross-tenant read 8/8 denied with the production tenant-policy digest bound Does not prove every future policy revision
Disable, queued work, and safe retreat Write capability disabled in staging; queued cases reconciled; service returned to the existing specialist-only workflow Production exercise is limited to the canary plan
Median latency 8.1 seconds NorthLake canary load only
Partial pre-pilot cost estimate CAD 13.20 per eligible case Pilot support incidents, adoption burden, and production exceptions remain unmeasured

Adjudicated reference baseline:

  • The Revenue Cycle Quality Lead independently adjudicated a stratified 45-case July NorthLake reference set under correction-rubric-r1.
  • Three of 45 reviewed corrections required a later correction under that rubric (6.7 percent). The small reference set is a canary comparison, not a stable population trend.

Bounded canary and retreat contract:

  • Maximum cohort: 20 eligible NorthLake cases per day and 100 total cases over four weeks. Every recommendation receives specialist review; no submission capability is present.
  • Automatic stop: any unauthorized submission or capability exposure; any cross-tenant read; any duplicate recommendation for the same case and evidence revision; any unresolved workbench readback after 15 minutes; two or more independently adjudicated recommendation errors in a rolling 20 used recommendations; or measured operating cost above CAD 18 per eligible case after the first 20 eligible cases. If complete cost cannot be computed at a scheduled 20-case checkpoint, pause expansion and route the gap to the Platform Lead rather than treating a partial estimate as a pass.
  • Safe retreat: disable recommendation writes, reconcile pending and uncertain records, and return every case to the existing specialist-only correction and submission workflow. No older recommendation build is promoted as rollback.
  • Software rollback is not applicable because no older recommendation build is promoted. Migration 2026-08-16-queue-r2 and old-record replay have not been exercised, so the exact-candidate gate remains open.

Scoped human records on 18 Aug:

  • The Aster Revenue Cycle VP accepts the recommendation-only NorthLake reframe for a four-week canary. Summit and automatic submission remain excluded. This is not acceptance of the sold 30 percent outcome.
  • The Director of Product Security confirms policy revision 8 applies and approves the recommendation-write boundary described above; no submission capability is authorized.
  • The Aster Analytics Director is assigned as independent verifier for the interim adoption, cycle-time, and cost measures. The Revenue Cycle Quality Lead owns correction labels, the reference baseline, and adjudication.
  • The Aster Platform Lead records hold with conditional canary intent for the exact bound rec-0.4.3 candidate. Launch remains blocked until migration and old-record replay pass and are bound to this candidate. The 15 percent interim improvement and 70 percent adoption floors remain continuation conditions; they are not the sold acceptance target.

rec-0.4.2 remains held. rec-0.4.3 is also held pending bound migration and old-record replay evidence. Disable and safe-retreat evidence cannot be relabeled as software rollback. No result transfers between candidates unless explicitly rerun and rebound.

Complete Mission 8 before opening the Mission 9 operating evidence.

Keep the artifact

Use the styled page for reading. Download the source only when you need an editable or versionable working copy.