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For plans and SIU

The file is ready when the letter comes. Sealed in seconds.

For Medicare Advantage plans, SIU, and the counsel who answers CMS. CREB, AREB, PIEB, and RREB, with RADV profiles of each, seal in FRE 902(14) form. 332 checks run today. You keep the file.

Request an exposure assessment See who it is for
Live demonstration

One public claim. Not a customer file. The frames flash through the walk.

Claim record

Brightwater Family Health

  • CLM-2026-891089
  • CPT-99214
  • $310,000 stored

The record says claims were submitted after SSA Death Master File verification. The 114 encounters are not itemized.

Open the live walk
CREB for SIU The adverse finding, sealed for recovery and for counsel.
AREB for the audit What was supported, ready when CMS asks.
PIEB for the plan The payer's improper-payment file. The plan owns it.
RREB for RADV Risk and recovery in one record. Same seal.
Before the letter RADV on V22/V24, the models CMS audits today. V28 stays ready.
332 active 489 in the catalog. 332 run today.
The week it matters

A flag is not a case.

SIU can mark a claim this afternoon. Counsel still needs the file. The bundle is that file, sealed in seconds.

A flag

The spreadsheet path

  • A flagged claim
  • A note in a queue
  • You still build the file
  • The letter is what starts the work
Medicare Advantage RADV exposure scored before the sample is drawn. V22/V24 live.
SIU CREB in the queue. The case, already sealed.
Compliance AREB for the decision you will have to defend.
Counsel One record for MFCU, auditors, or court. You keep it.
Three beats

Run the checks. Seal the bundle. Hand it over.

Three moves, beside the claims system you already run.

  1. Run the checks. Deterministic checks score the claim. 332 of them are active today.
  2. Seal the bundle. CREB, AREB, PIEB, or RREB, in FRE 902(14) form.
  3. Hand it over. The customer keeps the seal. Counsel, DOJ, MFCU, or the auditor opens one record.
CMS

Score the sample before CMS draws it.

Ava scores on V22/V24, the models CMS audits today. V28 stays ready, not active. RADV is a profile of the four bundles.

Before the letter

Shadow RADV on V22/V24. The gaps are a list before the sample is drawn.

The claim still on the desk

Hold only what a reviewer chooses to hold. The reason is sealed that day.

The file counsel opens

CREB-RADV, AREB-RADV, PIEB-RADV, and RREB-RADV. One seal.

Healthcare use cases AVA regulatory detail
The four bundles

One seal. Four files.

Each file stays with the customer.

Adverse finding

CREB

Court Ready Evidence Bundle. What was not supported. Built for recovery and for counsel.

Supported decision

AREB

Audit-Ready Evidence Bundle. What was supported. Built for the audit response and for counsel.

Payer file

PIEB

Payer evidence. Improper-payment proof the plan owns. Same seal as CREB.

Risk and recovery

RREB

Risk and Recovery Evidence Bundle. Risk adjustment (RADV) and the recovery, in one record.

Deployment

Your claims system stays.

JIL reads beside the systems that already pay claims. Nothing has to move first.

01

Systems stay

Claims, adjudication, and payment rails stay in place. JIL does not replace them and does not hold funds.

02

Customer control

The organization keeps the sealed record. JIL is not the system of record for the payment.

03

Shadow first

Run beside the live process and read the results before any payment behavior changes.

Public claims register, dated 2026-09-28. Operational, security, patent, service, data-source, and node counts on that page are the public rows of the estate metrics file. Patent claims are filed and patent pending.

Bring the letter, or the claim you would rather not pay.

A RADV sample, a payment still on the desk, or an SIU file that is not yet a case. A written view within two business days.

MCO minimal OPEX in basis points. Hospital 0.25% NPR. Hospice 1%. No contingency. You keep the recoveries.

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