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Claims Compliance Auditor

by recued-core v1 40 views

Audits claims, policy decisions, and regulatory disclosures for compliance exceptions and generates readiness summaries.

How it works 8 steps

Inspect the data fetches, transforms, gates, and output this recipe runs.

Data fetch
▼ claims claim-list-reader-core
Fetch list reader from core
▼
Process (7 steps)
⚠ check_claims guard
Stop if claims is empty
■ compute_time map
Extract submission_date from each item
■ enriched map
Extract from each item
■ claim_table to_table
Format results as a data table
■ hashed hash_replace
Anonymize sensitive fields for safe AI processing
✦ ai_summary ai-prompt
AI generates a response from a custom prompt
skip: config.enable_ai equal false
■ restored hash_restore
Restore anonymized fields back to real values
skip: step.ai_summary is_null
▼
Output
table claim_table
ai_analysis restored
Settings 2 configurable

Configurable at install. Defaults shown — change them anytime in Recued.

enable ai toggle = on
audit period days number = 90

Uses (2 ingredients)

Ingredient claim-list-reader-core claim-list-reader-core
Legacy AI Custom Prompt ai-prompt

Trust & control

What installing this recipe would let it do. Recued grants these permissions at install — review them there before approving.

What it's allowed to do

Read Legacy AI Custom Prompt read-only

1 more isn't listed here. You'll see it at install.

About

Tags

core claimscomplianceauditinsurance

Details

8 steps 2 configurable settings recipe_id: audit-claims-compliance-core