Maksim Topchilo

policy 001-169-215235/26 · A-2 "Expat" · Tbilisi, Georgia

Needs decision

The decision

Needs decision

316.46 EUR

to the claimant · = 359.75 USD

claimed 366.46 EUR · 1 095 GEL on the invoices

Full calculation in step 7 ›

Incident

2026-07-25 · Tbilisi, Georgia · filed 2026-08-03

Under

Absolute · · multi_trip · rules of 2024-10-23

Policy

001-169-215235/26 · cert 3739 · 2026-06-29 → 2026-07-29 · bought 2026-06-28

Leaves

29 633.54 of 30 000 EUR on medical_expenses

4 things need a human

Overpricing score 91, level high

Episode ep_medical_cito_jul: 416.59 USD claimed, 91% above the estimate. The step returned action fraud_queue.

step 5

step5 overpricing high

Carried from step 5. Explicitly marked as not affecting the amount — coverage is computed on the actual bill, not on the benchmark.

step 7

manual review required

A person has to settle the price question before money moves.

step 7

Risk 55 of 100

Policy purchased one day before cover started; 18 prior claims for this insured within 90 days; the application carries a spare invoice section with no amount and repeated attachments.

step 8

The run · 11m 01s · 9 flags across 4 steps

Flags

OVERPRICING_HIGH

Claimed far above estimate. Routing: fraud queue.

What the step decided

Expected: ~218 USD · range 109–379 · anchor relevance 0.98
Claimed: 416.59 USD — 91% above estimate
Anchors: 8 selected from 15 · geo factor −0.20 · median guardrail not fired

9 flags across 4 steps, and 5 distinct facts — overpricing high is raised 4 times, once by each of steps 5, 6, 7, 8. Open a step to see the exact codes it emitted.

Run it again

This run took 11m 01s; expect a similar order on a re-run.
The policy limit is not charged twice: a re-run replaces the previous answer rather than adding to it.
Earlier answers stay readable in the run history.

This console runs on one fixture claim (ctx_06FWD341ER3J0YJ9S46QE50NCV). There is no API behind it: nothing here is fetched, stored, or sent.