Auto-Approved Claims
Low-risk, low-value claims automatically approved by AI.
Auto-Approved Today
0
Auto-Approved Total
0
System Handler
system
Used for audit traceability
Auto-Approval Criteria
Claims meeting all of the following thresholds are automatically approved without human review:
Max Estimated Damage
≤ $15,000
Max Risk Score
≤ 30 / 100
Risk Level
LOW_RISK only
Validity Status
VALID or QUESTIONABLE
Coverage Status
COVERED or PARTIALLY
AI Recommendation
DENY blocks; others advisory
Auto-approval is driven by specialist agent consensus (risk score, validity, coverage), not the synthesizer alone. If the synthesizer says INVESTIGATE but all specialists agree the claim is low-risk and covered, the system auto-approves. A DENY recommendation always blocks auto-approval.