Pre-settlement attestation purpose-built for utilization management decisions. Every prior authorization, concurrent review, and retrospective review decision is verified against the plan's own published criteria, sealed with cryptographic evidence, and re-verifiable by a regulator, an auditor, or a court.
Health plans face a structural problem: UM decisions are made by people and systems that the plan cannot prove were correct after the fact. When CMS, a state regulator, or a court asks for evidence, the plan reaches for log files. JIL replaces the log file with a cryptographic record. The right reviewer, the right criteria, the right timeframe. Every decision attested. Every attestation sealed.
148
Checks per decision
<2s
P95 sync latency
8 to 12
Weeks to production
15+yr
Evidence retention
01Prior Authorization Attestation
Every PA decision is verified against the plan's own published clinical criteria, CMS timelines, and NCQA UM standards before the determination is communicated. JIL confirms the right reviewer made the right decision, using the right criteria, within the right timeframe. The attestation record survives appeal, audit, and litigation.
02Concurrent Review Verification
Inpatient stays under concurrent review receive attestation at each review interval. JIL verifies that the continued-stay decision was supported by clinical documentation, applied the correct level-of-care criteria, and met notification deadlines. The result is a continuous compliance record across the full episode of care.
03Retrospective Review Evidence
When a plan conducts retrospective review of UM decisions already rendered, JIL attests the review itself: was the correct standard applied, was the reviewer qualified, did the determination comply with the plan's own policies and applicable state law. The output is a sealed evidence package for each reviewed decision, not a summary report.
04Regulatory Examination Readiness
CMS Interoperability and Prior Authorization Final Rule timelines are compressing. UHG's elimination of PA requirements for 30% of services has reset the regulatory frame. Plans that retain PA must now defend each retained requirement on the record. UM Attestation produces the evidence that makes that defense possible, continuously, not in response to an inquiry.
JIL sits between the plan's UM platform and the claims engine. The plan's existing UM workflow continues unchanged. JIL ingests each determination, runs 175 checks across hierarchy, currency, AI-assisted clinical reasoning, and procedural integrity, and returns a binding verdict. The verdict and its full evidence chain are written to CourtChain™. The plan's UM platform remains the system of record.
06Onboarding path
i
BAA & DPA
ii
Snowflake provision
iii
Connector deploy
iv
Source config
v
Sandbox
vi
Pilot batch
vii
Production cutover
Steady state in 8 to 12 weeks. The plan's UM platform remains the system of record. JIL operates in parallel and writes attestations alongside, not in place of, existing workflow.
07What you get
Per-decision attestation. Every PA, concurrent review, and retro review decision verified and sealed individually.
CourtChain™ evidence. Append-only ledger with cryptographic timestamp, hash chain, and full evidence lineage per verdict.
CREB™ issuance. Court Ready Evidence Bundle for flagged decisions, self-authenticating under FRE 902(14).
PoCS dashboard. Continuous Proof of Compliance State across the UM program, not an annual NCQA snapshot.
Regulatory mapping. HIPAA, NCQA UM, CMS Final Rule, and applicable state UM statutes mapped check-by-check.
08What this is not
Not a replacement for the plan's UM platform or clinical reviewers. JIL attests decisions; it does not make them.
Not a recovery vendor. JIL detects and proves. The plan acts on the attestation.
Not contingency-priced. Flat fee, transparent on day one. No percentage of denial savings or appeal reduction.
Not a black box. Every check is versioned, audit-traceable, and explainable to a regulator, NCQA auditor, or court.
09Pricing and engagement
Model
Flat-fee, engagement-based. Volume tiers for large MCO UM programs. No contingency, no percentage of recovery.
Integration
API-first via Connector SDK. Sits between the UM platform and the claims engine. 8 to 12 weeks to production.
Compliance
HIPAA, NCQA UM standards, CMS Final Rule on Prior Authorization, applicable state UM statutes. SOC 2 Type II in progress.
Evidence Retention
15+ year retention on CourtChain™. FRE 902(14) self-authenticating certification per sealed record.
Four no-fee working sessions to start.
Architecture review, regulatory mapping, integration scoping, and pilot scoping. No NDA required for the first session; clickwrap NDA unlocks the full nine-doc UM engineering package.