{"anchor_type":"MOCK","anchor_types":["MOCK"],"bundle_id":"BND-CLM-RPM-00049-7b370f0c3f5d","claim_id":"CLM-RPM-00049","content_hash":"7b370f0c3f5dbad6e5af2dfba7b5fc74dbdf7ec1a9c1225e006d3d6ff54e0bab","entries":[{"claim":{"charged":150.0,"claim_id":"CLM-RPM-00049","device_serial":"DEV-000049","dos":"2024-07-20","has_activation":true,"has_consent_leaf":true,"has_order":true,"has_review_note":true,"has_treating_relationship":true,"npi":"12f07fd604","paid":120.0,"patient_id":"P-007741","reading_days":16},"dataset_hash":"857f1926c36c4c947ae6340bd69c09e1504712dc8aa216ac6c89a139fedf2b43","entry_hash":"9ff1e1d7367e35fcb4d524afe9c9aeb0935e0c6b509842561524743094a43194","generated_at":"2026-07-09T00:00:00Z","prev_hash":"0000000000000000000000000000000000000000000000000000000000000000","rules_version":"2026-07-22-w4-sparse-referral","type":"claim"},{"entry_hash":"2ee8cd7b882f1e1d0d851b13fb89cc57b29680f6c5217e56c7f3fb66362c1ee4","flag":{"charged":150.0,"claim_id":"CLM-RPM-00049","confidence":1.0,"dos":"2024-07-20","evidence":"{'liveness': 'NOT_ESTABLISHED', 'failing_signal_classes': 'device_fingerprint,physiologic,serial_provenance,timing_entropy', 'signal_class_count': '4', 'composition_score': '0.9103', 'entropy_normalized': '-0.0000', 'value_sd': '0.2915', 'condition': 'chf', 'circadian_adjusted_persistence': '0.0769', 'fingerprint_patient_count': '22', 'device_fingerprint': '3bb89eaa69951f3b', 'n_readings': '60', 'recommended_action': 'ESCALATE', 'note': 'Liveness not established by composition of independent signal classes. Human review required \u2014 a genuinely regular patient routine is not fraud.'}","harm_severity":6,"npi":"12f07fd604","paid":120.0,"patient_id":"P-007741","primary_cpt":"99454","rule_name":"telemetry_liveness","severity":"TIER1"},"prev_hash":"9ff1e1d7367e35fcb4d524afe9c9aeb0935e0c6b509842561524743094a43194","type":"flag"},{"entry_hash":"06f1b4b912085262125038083832e87d1262bbca335852cf144da1ddbbc09381","flag":{"charged":150.0,"claim_id":"CLM-RPM-00049","confidence":1.0,"dos":"2024-07-20","evidence":"{'signature_hash': '7fbccfe959c0f005bf62e2ad445a9dab', 'matched_set_streams': '17', 'matched_set_billing_entities': '16', 'entropy_normalized': '-0.0000', 'circadian_adjusted_persistence': '0.0769', 'median_gap_hours': '12.00', 'raw_readings_retained': 'false', 'recommended_action': 'ESCALATE', 'note': 'One generator signature observed under multiple unrelated billing entities. Harm and priority elevated for every member of the matched set. Human review required.'}","harm_severity":7,"npi":"12f07fd604","paid":120.0,"patient_id":"P-007741","primary_cpt":"99454","rule_name":"device_signature_index","severity":"TIER1"},"prev_hash":"2ee8cd7b882f1e1d0d851b13fb89cc57b29680f6c5217e56c7f3fb66362c1ee4","type":"flag"},{"entry_hash":"04ec1ef9111aced28762081d2600fbeee6bfa30854d558bb4624f882e0a3164f","error_rate":"False-positive and false-negative rates on real-world data: pending pilot. No numeric field error rate is claimed.","method_validity":"Each flag entry above cites the deterministic rule that emitted it and its evidence fields; findings are typed contradictions, not scores.","prev_hash":"06f1b4b912085262125038083832e87d1262bbca335852cf144da1ddbbc09381","reliability_standard":{"bundle_schema_version":"1.2.0","code_commit":"538a0262750b4ccab3494ac1f29dd683ef6dc1f7","dataset_hash":"857f1926c36c4c947ae6340bd69c09e1504712dc8aa216ac6c89a139fedf2b43","rules_version":"2026-07-22-w4-sparse-referral"},"type":"methodology","validation_evidence":"All rule precision figures are measured against synthetic, by-construction ground truth (labeled archetype subsets). They are NOT field performance. A calibration pilot on real data is required before any field claim."},{"entry_hash":"5f2c727d85d8228aa2ff3013adb304749642db966cdb141a0a699f8e4abf90af","gaps":["Does not verify medical necessity of the underlying diagnosis or procedure.","Does not verify clinical accuracy of device readings or chart content.","Does not decide that fraud occurred; it documents typed contradictions on one claim for a human investigator, auditor, or court to weigh.","Does not verify events outside the ingested records (orders, consents, telemetry, notes, registries supplied to the engine)."],"prev_hash":"04ec1ef9111aced28762081d2600fbeee6bfa30854d558bb4624f882e0a3164f","type":"gap_list"},{"code_commit":"538a0262750b4ccab3494ac1f29dd683ef6dc1f7","dataset_hash":"857f1926c36c4c947ae6340bd69c09e1504712dc8aa216ac6c89a139fedf2b43","entry_hash":"028241925c68e73725d8c7e80527f2e67c400774a0891d31bfaa824ec06219c4","flag_hashes":["2daadcc3ce227b8f92a5bece88217db95c332bd3aa4e2e0c82894eb93de573f4","11cd3d34e7efe8ea094bf3db7abf194a680b667014eb9ae9d09b9845a8d2c77d"],"input_claim_hash":"6ba0a9085a0874a5814c921fa40f31fba4a4017f01d90274c4acddf23b95be0a","instructions":"Re-run build_evidence_bundle with identical claim_row, flags, dataset_hash, generated_at, code_commit and anchor='MOCK' for byte-identical output at this code commit.","prev_hash":"5f2c727d85d8228aa2ff3013adb304749642db966cdb141a0a699f8e4abf90af","rules_version":"2026-07-22-w4-sparse-referral","type":"reproducibility"},{"anchor_type":"MOCK","anchored_entry_hash":"028241925c68e73725d8c7e80527f2e67c400774a0891d31bfaa824ec06219c4","entry_hash":"7b370f0c3f5dbad6e5af2dfba7b5fc74dbdf7ec1a9c1225e006d3d6ff54e0bab","mock_token":"9a2a3937e763f8229c2abfb438ddeaf524f060d5119b4567cc162c86383c86b3","note":"Demo stub only. Production uses dual RFC-3161 TSA + OTS/Bitcoin anchors.","prev_hash":"028241925c68e73725d8c7e80527f2e67c400774a0891d31bfaa824ec06219c4","type":"anchor"}],"schema_version":"1.2.0"}