Maksim Topchilo
25policy 001-169-215235/26 · expat EXP-003739 · Tbilisi, Georgia
Manualstep 7 of 9
Payout
step 7 of 9 · payout_calculation · 0:18 · routing_hint manual_review
Manual
Coverage, limits, deductible and who bears what.
The waterfall
MANUAL_REVIEW
Consultation · 25 Jul30.12 EUR
Workup · 28 Jul336.34 EUR
Parsed from the documents366.46 EUR
Excluded by step 4exclusions_check− 0.00 EUR
Covered under medical expenses366.46 EUR
Over limitlimit cap first− 0.00 EUR
Deductibleborne by the claimantapplied after the limit cap− 50.00 EUR
Payable to claimant359.75 USD316.46 EUR
Why these numbers
Deductible reason
policy bought while the insured was already in the destination country
Medical limit
30 000.00 → 29 633.54 EUR after this claim
Other risks
baggage 500 · civil liability — untouched
Eligibility gate
passed — inherited from exclusions_check.eligibility, not re-decided here
Amounts
MATCH Declared and extracted totals agree at 416.59 USD; no line was re-read differently.
Settlement
claimant 316.46 · insurer 316.46 · broker 0.00 reconciles
Currency
EUR · GEL→USD 2.6285 · EUR→USD 0.879660166 rate dated 2026-07-25
Limits after this claim
| Risk | Basis | Payable | Left of limit |
|---|---|---|---|
| Medical expenses | 366.46 | 316.46 | 29 633.54− 366.46 |
| Baggage loss | not claimed | — | 500.00 |
| Civil liability | not claimed | — | 10 000.00 |
| Emergency dental | not claimed | — | 1 500.00 |
| Evacuation of children | not claimed | — | 1 000.00 |
| Accidentadd-on | not claimed | — | 10 000.00 |
medical_expenses · from 18 ledger entries the same 18 prior claims step 8 raises as FREQUENCY_ANOMALY
What the run wrote
Composed by the run, not by this screen.
2 things need a human1 further flag(s) recorded without raising a question: DEDUCTIBLE_APPLIED
STEP5_OVERPRICING_HIGHstep 7
Carried from step 5. Explicitly marked as not affecting the amount — coverage is computed on the actual bill, not on the benchmark.
MANUAL_REVIEW_REQUIREDstep 7
A person has to settle the price question before money moves.
Step 7 decided
Manual
Claimed
366.46 EUR · 1 095 GEL on the invoices
Deductible
50 EUR, money, borne by the claimant
Payable
316.46 EUR · = 359.75 USD
Limit
29 633.54 of 30 000 EUR left on medical_expenses