{
  "pieb_id": "pieb-radv-sample-hcc18",
  "profile": "PIEB-RADV",
  "generated_at": "2026-08-12T18:00:00.000Z",
  "payment_year": 2025,
  "contract_id": "H0000-DEMO",
  "member_id": "member-demo-001",
  "overall_disposition": "FINDINGS_ISSUED",
  "confidence": 0.88,
  "simulated_impact_total": 2400,
  "findings": [
    {
      "finding_id": "f-demo-hcc18",
      "hcc_code": "HCC18",
      "model": "V24",
      "diagnosis_code": "E11.65",
      "support_score": 0.15,
      "evidence_strength": "none",
      "issues": [
        "No contemporaneous assessment, monitoring, or treatment documentation in the evaluation window supporting diabetes with chronic complications",
        "Note contains historical mention only; does not support the submitted HCC for payment year 2025"
      ],
      "evidence": [
        {
          "document_id": "doc-demo-1",
          "service_date": "2025-03-12",
          "document_type": "progress_note",
          "excerpt": "History of type 2 diabetes; no current assessment or treatment plan in note.",
          "reason": "Historical mention only"
        }
      ],
      "simulated_impact": 2400,
      "recommended_action": "queue_prepay_review",
      "agent_type": "documentation_support",
      "model_version": "doc-support-v0.1.0",
      "audience": "payer_siu"
    }
  ],
  "radv_context": {
    "audit_model": "V24",
    "v28_status": "ready_not_active",
    "meat_status": "ready_not_active",
    "extrapolation_status": "ready_not_active",
    "projection": "sample_only",
    "allegiance": "payer"
  },
  "model_versions": {
    "documentation_support": "doc-support-v0.1.0",
    "hcc_scoring": "v22-v24-fixture"
  },
  "sealing_metadata": {
    "status": "ready_for_seal",
    "schema_version": "pieb-radv-1.0"
  },
  "_sample": true,
  "_disclaimer": "Synthetic payer-side RADV integrity sample. Same sealed-core evidence as CREB-RADV; PIEB cover and payer allegiance. Not a live seal.",
  "content_hash": "sha256:56dda14614b7e77d38fa63c45c3d4c129c2989f0e7fe3c302ff8e319a2986bed"
}