Maksim Topchilo

25
policy 001-169-215235/26 · expat EXP-003739 · Tbilisi, Georgia
Manualstep 8 of 9
ResultNext step

Antifraud

step 8 of 9 · antifraud · 1:45 · risk 55 / 100 · routing_hint manual_review
Manual

Forensics and external checks, at the depth the claim's amount calls for.

Score
55medium · depth strong · 2 model call(s), median 50080 ms
medical
ran — both items are medical_expenses
flight
did not run — no flight item on this claim
baggage
did not run — no baggage item on this claim
document integrity
ran — always runs on depth strong
4 things need a human4 of 26 codes raised · appears on Manual and Block only
OVERPRICING+20

Step 5 cost analysis: overpricing level high.

→ Open step 5
LAST_MINUTE_PURCHASE+10

Policy purchased 1 day before cover start.

DOC_INTEGRITY+10

The application declares 2 invoices, but carries an extra no-amount invoice section with repeated attachments — verify document grouping.

FREQUENCY_ANOMALY+15

18 prior claims for this insured within 90 days.

→ Open step 7
The clinic
not a small clinic
Matched
Medical Center Cito LLC hospital
Address
8 Kavtaradze St, Tbilisi 0186, Georgia GE
Rating
Rating 3.2 from 387 reviews
Alternatives
no network alternative nearby
How the files were made
Rebuilt from PDF
1InvoiceSkia/PDF m146
3Medical reportSkia/PDF m146
5InvoiceMicrosoft: Print To PDF
9ApplicationJotForm PDF · application form
10Bank detailsSkia/PDF m146
Photographs
2Receiptcapture time not recorded · GPS absent
4Receiptcapture time not recorded · GPS absent
6Lab resultcapture time not recorded · GPS absent
11Passportcapture time not recorded · GPS absent

Producers are read from the files themselves. A single producer across separately named invoices is what raised DOC_INTEGRITY; it is a question, not a finding.

Checked and clean
visual tamperingAI-generated textAI-generated photopayee matchpassport MRZname matchdatesVATclinic exists
Not checked
metadata & GPSSKIPPEDflightSKIPPEDbaggageSKIPPEDvendor document forensicsNOT_REQUESTED
metadata & GPS
all 4 photographs arrived without capture time or GPS source exif
flight
no flight item on this claim source aerodatabox
baggage
no baggage item on this claim source pir_format
vendor document forensics
External document-forensics vendor was not called on this claim. source no vendor

All 4 photographs arrived without capture time and without GPS, so the metadata module had nothing to read. Showing any of these as green would be a lie.

Step 8 decided
Manual
Risk
55 of 100 · medium
Depth
standard modules · no vendor forensics requested