Scope FAQ

Who is this for?

Self-funded employers where medical administration, pharmacy data, and specific stop-loss are split across vendors or are changing during a run-in/run-out transition.

Is this a claims audit?

No. It does not determine medical necessity, coding, disputed eligibility, coverage, COB/subrogation, or denials. It reconciles supported paid-claim facts to already-resolved policy predicates and reimbursement evidence.

Does it replace a broker, TPA, or carrier?

No. If an existing administrator or advisor already performs equivalent cross-feed stop-loss reimbursement auditing, the review is likely redundant.

Does a transition or fragmented vendor stack prove there is a problem?

No. Public procurement evidence can identify a reconciliation surface, but it does not prove an incomplete handoff, missing historical data, or buyer-recognized pain. Those are discovery questions. Unknown public evidence is never scored as pain.

How is an Aggregating Specific Deductible handled?

The Aggregating Specific Deductible is treated as a decisive Specific-layer term. The applicable member Specific deductible or laser is applied first, then the shared ASD. If more than one member can consume a positive ASD, authenticated claimant allocation or chronology evidence is required; without it, affected members hold rather than producing a positive reimbursement exception.

What about conditional Specific riders?

Unsupported governing modifiers—such as conditional deductible step-downs, Bridge/Gapless renewal, advance-funding or deemed-paid treatment, and mirroring/policy-alignment—are detected and placed on hold. V1 does not decide clinical/program applicability or silently reinterpret the paid window.

What does the evidence chain prove?

The workpaper retains supplied claim, submission, carrier acknowledgment, and payment references so an employer can see which downstream records are actually evidenced. A chain is complete only when a submission explicitly references the reconciled claim rows and the acknowledgment/payment links are evidenced. A missing claim-to-submission link or carrier acknowledgment is reported as a control gap only; it does not change a reimbursement status or establish entitlement to payment.

What about carrier operational prerequisites?

Carrier forms and condition sheets can add fail-closed evidence prerequisites without authorizing policy terms. Current V1 guards include Symetra separate-PBM Rx-experience receipt, Symetra final signed Plan Document acceptance, and QBE advance-reimbursement prerequisites. If applicability or required evidence is unresolved, positive reimbursement exceptions hold.

Does a stated filing deadline automatically control?

No. The authenticated policy packet controls. Endorsements and jurisdiction-specific provisions can modify a base deadline; unresolved deadline exceptions or state-law overrides are held and cannot produce a positive reimbursement exception.

Does it accept PHI?

Not in this public validation build. Identifiable member-level claims remain disabled until an executed BAA and an operational BAA-ready security/privacy stack exist. The policy/modifier screen occurs before member data is requested.

Can an RFP or quote request establish the governing stop-loss terms?

No. The end-to-end workpaper accepts issued policies, endorsements, or explicitly incorporated proposals as governing document roles. Request/marketing material can guide research but cannot authorize a reimbursement conclusion.

Does a 12/12 or 15/12 basis prove there is no terminal liability?

No. The basis determines ordinary incurred/paid windows. Terminal liability is a separate election. The engine derives ordinary run-out from basis without claiming a terminal-liability election; if terminal liability is actually decisive to the reviewed claim window and its election is unstated, the workpaper holds.

Does “No New Laser” mean there are no current lasers?

No. Renewal-only No New Laser language is not treated as an empty current laser schedule. A current “No Lasers” statement or the actual current laser schedule is required.

What about aggregate stop loss?

Aggregate stop loss is review-only and is not part of the deterministic V1 release claim.

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