OVERTURE PIDAPHale & Voss LLPDEMO
SOVEREIGNSHADOWHV-PB 2026.10pi-engine 0.1.0
REVIEW

HV-1147: Accident benefits

DEMO

Client SGAccident benefitsBramptonOwner EYopen, last reviewed 2026-09-28

REVIEW
Clock stripas of 2026-10-05
08-0808-1508-2208-2909-0509-1209-1909-2610-0310-1010-1710-2410-31AS OF 2026-10-05Plan received 2026-08-28Response due 2026-09-14Day 11 2026-09-15
REVIEWEXCEPTIONNo response to the treatment plan: due 2026-09-14, now pastSHADOW v1.0SABS-38

Brightwater General (fictional) received the treatment plan on 2026-08-28. 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 INSURER2026-08-28From a documentINSURER'S RESPONSENot on fileMissing
  • Which document shows the insurer's response to the treatment plan, if any?to benefits clerk
REC-HV-1147-57fbfe1…a58bec5From a documentSECONDARYFIRMCOUNSEL-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 clerk
REC-HV-1147-673d149…f271223MissingSECONDARYCOUNSEL-CONFIRMSroutes to reviewexamined 5 documents, all extracted
Rules that pass on this file
  • PASSConflict search cleared by a partnerAUTHORITY v1.1RPC-3.4REC-HV-1147-1
  • PASSSigned standard form agreement on fileAUTHORITY v1.1CFA-01REC-HV-1147-2
  • PASSBenefit menu selected from the policy date: prior benefit setSHADOW v1.0SABS-VER-01REC-HV-1147-3
  • PASSPayer order: the auto insurer pays first for medical and rehabilitationSHADOW v1.0SABS-VER-01REC-HV-1147-4
  • PASSEvery document-backed fact carries a matching quoteSHADOW v1.0FIRM-RECORD-01REC-HV-1147-7
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.