{
  "schema_version": "healthcare-admin.result.v2",
  "status": "draft_for_human_review",
  "workflow_id": "denial-spike-workup",
  "human_owner": "Demo revenue cycle reviewer",
  "data_mode": "synthetic_only",
  "input_sha256": "c12be620242a2d16e96e22e438908671073936480db1a9ed90fba7467bbcd1b6",
  "values": {
    "baseline_rate": 0.08,
    "current_rate": 0.16,
    "percentage_point_change": 8,
    "relative_change": 1,
    "denied_dollars": 42000,
    "recoverable_dollars": null
  },
  "evidence": [
    {
      "id": "oi-synthetic-cohorts",
      "origin": "synthetic",
      "as_of": "2026-10-04",
      "description": "Original invented aggregate cohorts for the Open-Informatics replay. No patient, customer or real payer data.",
      "fields": [
        "baseline_claims",
        "baseline_denied",
        "current_claims",
        "current_denied",
        "denied_dollars"
      ]
    }
  ],
  "interpretation_checks": [
    "Align denial definitions, populations and periods before interpreting a change; denied dollars are not recoverable cash."
  ],
  "next_actions": [
    "Revenue cycle owner validates cohorts and loss assumptions.",
    "Coding/compliance owner reviews coding hypotheses; contracting owner verifies payer policy.",
    "Authorized operator reviews any submission and verifies resulting receipt."
  ],
  "completion_gate": "Verified cohorts, named owners, tested root cause and a monitored follow-up; a calculated rate is only an intermediate result.",
  "external_actions_performed": false
}