FROM RETROSPECTIVE RECORDS TO PROSPECTIVE CONTROL
Find the workflows that need a receipt.
Start with a synthetic demo or a governed export. Amelia Integrity Scanner scores amount, repetition, authority, mismatch, replay, and provenance signals, then shows where an exact-action receipt should be required.
A source-linked triage and integration plan for a human program-integrity team.
1. Bring the records
Start read-only. Use synthetic or properly governed data.
Files are processed by this pilot service for the current scan and are not a fraud, compliance, or liability decision. Use synthetic or approved de-identified data until your organization has completed its own privacy and security review.
RISK MAP
Receipt-required areas
The score is transparent and configurable. Size alone never decides: authority, repetition, mutation, replay, and uncertainty can push a workflow into receipt-required.
MEDICARE CLAIMS-INTEGRITY PILOT
What happens in practice
Claims, approval, payment, provider, and outcome exports enter a read-only workspace.
Amelia Integrity Scanner groups records and surfaces review leads without calling anyone fraudulent.
The integrity team selects a risk area and generates a receipt profile in a few clicks.
An adapter requests, verifies, and consumes a receipt before a high-risk payment commits.
Outcome evidence returns to the case record; indeterminate effects are never blindly replayed.
PILOT PROPOSAL
One Medicare workflow. One governed export. One measurable control.
Start with synthetic replay, agree on review criteria, then connect a non-production path. The same policy becomes a prospective Gate control when the agency is ready.