Fictional TRH demo data — no PHI
Harsight VERIFY
← Spend exceptions
TRH demo record · fictionalUnderpaymentPayer underpaymentmedium severityhigh confidence

Radiology fee-schedule variance on advanced imaging.

EX-2021 · opened 2026-06-26 (23d) · Aetna

$41,500
Recoverable (underpaid)

Three-way match

Recoverable (underpaid)
Contract term
$207,500
Contract fee schedule
835 variance batch AE-Q3
Invoice / claim line
$166,000
Payer remittance (paid)
835 variance batch AE-Q3
VERIFY expected
$207,500
Expected per fee schedule
VERIFY expected-vs-paid
Exact variance$41,500

Paid 166000 vs contracted 207500 → 41500 underpaid (recoverable from payer).

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

Evidence & source

Evidence835 variance batch AE-Q3
CategoryPayer underpayment
Owner (record)C. Ford
Status (record)Open
Linked agreementCommercial Payer Participation Agreement (AGR-AE-001)
Download evidence (CSV)Download contract (PDF)

Chronology

  1. Flagged by VERIFY
    Underpayment detected against contract evidence: 835 variance batch AE-Q3.
    2026-06-26
    done
  2. Assigned for triage
    Routed to C. Ford for review.
    2026-06-26
    done
  3. Current status: Open
    Under active reconciliation with the counterparty.
    2026-06-26
    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 $41,500 flagged

Notes

0

No notes yet.

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    $16,000