Client CEAccident benefitsBramptonOwner FQopen, last reviewed 2026-09-16
REVIEW
Clock stripas of 2026-10-05
REVIEWEXCEPTIONNo response to the treatment plan: due 2026-09-14, now pastSHADOW v1.0SABS-38
Brightwater General (fictional) received the treatment plan on 2026-08-30. Its response was due 2026-09-14. No response is on file at 2026-10-05.
Brightwater General (fictional) cannot rely on the Minor Injury Guideline for this plan, and pays for the plan's goods and services from 2026-09-15, the 11th business day, until it gives proper notice.
TREATMENT PLAN RECEIVED BY THE INSURER2026-08-30From a documentINSURER'S RESPONSENot on fileMissing
Which document shows the insurer's response to the treatment plan, if any?to benefits clerkF-HV-0938-SABS-38
REC-HV-0938-504287d…899e6e5From a documentSECONDARYFIRMCOUNSEL-CONFIRMSroutes to reviewexamined 5 documents, all extracted
REVIEWCANNOT DETERMINEBenefit menu rests on an inferred policy dateSHADOW v1.0SABS-VER-01, Prior benefit set
The policy date 2025-12-01 comes from a broker email, not the declarations page. If it holds, the prior benefit set: medical, rehabilitation, attendant care, income replacement, non-earner, lost educational expenses, visitor expenses, damage to personal items, death and funeral, with caregiver and housekeeping for catastrophic impairment applies.
POLICY RENEWAL DATE2025-12-01Inferred, needs counselDECLARATIONS PAGENot on fileMissing
Upload the declarations page. Is there a written agreement changing coverage before renewal?to benefits clerkF-HV-0938-SABS-VER-01-menu
REC-HV-0938-378dd6e…f6590abInferred, needs counselVERIFIEDCOUNSEL-CONFIRMSroutes to reviewexamined 5 documents, all extracted
REVIEWCANNOT DETERMINETribunal clock cannot start: no written refusal on fileSHADOW v1.0LAT-56, LAT Rules, effective 17 November 2025
The two years run from the insurer's written refusal. None is on file.
WRITTEN REFUSAL FROM THE INSURERNot on fileMissing
Has the insurer issued a written refusal?to benefits clerkF-HV-0938-LAT-56
REC-HV-0938-6a44b4b…d72b7f7MissingSECONDARYCOUNSEL-CONFIRMSroutes to reviewexamined 5 documents, all extracted
Rules that pass on this file
PASSConflict search cleared by a partnerAUTHORITY v1.1RPC-3.4REC-HV-0938-1
PASSSigned standard form agreement on fileAUTHORITY v1.1CFA-01REC-HV-0938-2
PASSPayer order: the auto insurer pays first for medical and rehabilitationSHADOW v1.0SABS-VER-01REC-HV-0938-4
PASSEvery document-backed fact carries a matching quoteSHADOW v1.0FIRM-RECORD-01REC-HV-0938-7
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.