A curriculum for health plans, SIU, and counsel. Start with the six groups. The older generated library stays underneath so existing links still resolve.
Seal it as a Court Ready Evidence Bundle while the reason is still in the room. The file cites the check that fired, the evidence hashes, and the custody path. It is oriented to FRE 902(14). A court decides what it admits. No department has approved the form. Live RADV scoring is V22 and V24. V28 is ready, not active. JIL Sovereign Technologies, Inc. (Delaware) publishes this for payment integrity and court-ready evidence. This page's product is payment integrity and evidence. The Layer-1 host at jilsovereign.net is the same company, JIL Sovereign Technologies, Inc., and is not this page's product. The wallet hosts stay outside this page. Holdings licenses the IP and does not operate this site.
Treat the letter as a handoff, not a start date. Match the sampled members to packages already sealed in shadow: CREB-RADV where support is missing, AREB-RADV where the chart holds. Do not open a year of charts as if that were the plan. Nationwide extrapolation under the 2023 RADV Final Rule was vacated in Humana v. Becerra. It is not in force. The board figure is sample-only exposure on V22 or V24.
CREB is the court-ready file for an adverse finding. AREB is the audit-ready file for what the chart supports. PIEB is the payer payment-integrity file. RREB is the Risk and Recovery Evidence Bundle, a non-legal recovery brief with sample-only exposure. RADV is a profile of those four, not a fifth product. Ava drafts the profiles. There is no separate Ava Pro.
Yes. Healthcare payment integrity is an ROI-based fee plus a floor license. No contingency. No share of recoveries. The bundles are included. There is no per-file fee and no published numeric basis-point rate.
A shadow queue for human review, and a sealed package the institution owns. Default mode does not deny a claim and does not touch the payment rail. Counsel receives that same file. When the matter is a Medicaid fraud referral, the state MFCU can receive it too. JIL does not hold the plan's funds.
JIL Sovereign Technologies, Inc. operates that network at jilsovereign.net. This page's product is payment integrity and evidence. The Layer-1 host at jilsovereign.net is the same company, JIL Sovereign Technologies, Inc., and is not this page's product. The wallet hosts stay outside this page. Holdings licenses the IP and does not operate this site. Payment integrity on this host stays with JIL Sovereign Technologies, Inc.
