Fictional TRH demo data — no PHI
Harsight VERIFY
← Spend exceptions
TRH demo record · fictionalSLA breachService-level creditlow severityhigh confidence

Clean-claim adjudication exceeding 21-day contract window.

EX-2004 · opened 2026-07-01 (18d) · UnitedHealthcare

$18,000
Recoverable (credit owed)

Three-way match

Recoverable (credit owed)
Contract term
$18,000
Service-credit trigger
Remittance timing UHC Q3
Invoice / claim line
$0
Service credit applied
Remittance timing UHC Q3
VERIFY expected
$18,000
Expected service credit
VERIFY SLA reconciliation
Exact variance$18,000

SLA threshold missed; contractual service credit of 18000 is owed and not yet applied.

Baseline figures are illustrative demo values; the variance is the exact recoverable/avoidable amount VERIFY flagged.

Evidence & source

EvidenceRemittance timing UHC Q3
CategoryService-level credit
Owner (record)C. Ford
Status (record)Open
Linked agreementCommercial Payer Participation Agreement (AGR-UHC-001)
Download evidence (CSV)Download contract (PDF)

Chronology

  1. Flagged by VERIFY
    SLA breach detected against contract evidence: Remittance timing UHC Q3.
    2026-07-01
    done
  2. Assigned for triage
    Routed to C. Ford for review.
    2026-07-01
    done
  3. Current status: Open
    Under active reconciliation with the counterparty.
    2026-07-01
    current
  4. Next: recover / dispute
    Request credit, open a dispute, or accept as expected — demo actions below.
    —
    pending

Resolution workflow

Open
Interactive demo — actions are in-memory only and reset on reload; nothing is written to any store.
of $18,000 flagged

Notes

0

No notes yet.

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