HV-0901
Accident benefits, closed, outcome written backREVIEW
Clock strip
Outcome written backSHADOW v1.0
2026-06-10: A denial issued after the 10-business-day window did not stop the s. 38(11) consequence from the 11th business day.
It asks tonight on 3 open benefits files: “This denial arrived late. Has the file treated it as effective for the gap, and what is the s. 38(11) exposure from day 11?”
Before and afterExceptions
| Severity | Rule | Exception | Routes to |
|---|---|---|---|
| REVIEW | SABS-38 | Late denial treated as effective | review |
REVIEWEXCEPTIONSHADOW v1.0
Late denial treated as valid: the tribunal disagreed
StoredDerivedBasis
Treatment plan received by the insurernone2026-01-12From a documentDOC-0901-01, p. 1“Received: 2026-01-12 09:40.”
Insurer's denialnone2026-02-04From a documentDOC-0901-02, p. 1“Letter from Brightwater General (fictional), dated 2026-02-04.”
File treated the denial as effectivenoneyesFrom a documentDOC-0901-04, p. 1“The firm had treated the insurer's late denial as valid for the gap between day 11 and the denial.”
Context boundaryOverture
THIS RUNTIME CAN SEE
- This file's documents, notes and party names
- The policy book and its seeded sources
- The conflicts index: names, roles, matter ids and status only
IT CANNOT SEE
- Any other matter's documents, notes or party names (WALL-01)
- Any public model or public tool (FIRM-AI-1.2)
Permitted route: sh4pe local modelNot installed in this prototype. In production, inference that sees client content runs on firm hardware.