GTM samples · continuous RADV

Redacted RADV demo walkthrough

What SIU, compliance, and counsel actually open when Horizon Aegis is working. Four RADV profiles of one CREB template on the same demo member: CREB-RADV (unsupported), AREB-RADV (supported), PIEB-RADV, and RREB-RADV (RRADV). Audit model is V24 (V22/V24 live; V28 ready, not active). No live PHI. No contingency recovery story. Shadow mode is the default.

All four RADV samples CREB-RADV JSON AREB-RADV JSON PIEB-RADV JSON RREB-RADV (RRADV) JSON MCO interactive case demo Horizon Aegis

Honesty labels. CREB-RADV, AREB-RADV, PIEB-RADV, and RREB-RADV are profiles of the four bundles—not a fifth engine. Horizon Aegis scores V22/V24 live. V28, MEAT, and B11 extrapolation stay ready_not_active. CourtChain™ public blocks are S3 encrypted custody for filing digests, not L1 BFT consensus. Simulation outputs are model exposure, not a CMS recovery guarantee. Default evaluation mode is shadow (no payment rail impact).

1. Scenario (synthetic)

Contract H0000-DEMO, payment year 2025, member member-demo-001. Horizon Aegis scores documentation support on V24 while claim traffic continues. V28 is not applied. Nothing holds or denies payment until a customer elevates governance out of shadow.

Mode: shadow (default)
Cycle: Shadow → Package → Seal → Act
Seal path: POST /v1/profiles/radv/seal on creb-service
Ownership: Institution owns packages; JIL is the neutral sealer

2. Side by side

CREB-RADV — findings issued

Adverse / unsupported path. Sample HCC18 (diabetes with complications framing) lacks contemporaneous assessment, monitoring, or treatment documentation in the evaluation window—only a historical mention.

Disposition: FINDINGS_ISSUED
Support score: 0.15 · evidence strength none
Action: escalate_to_siu
Simulated impact: $2,400 (illustrative model exposure, not recovery)
Seal status: ready_for_seal · schema creb-radv-1.0

Download creb-radv-sample.json

AREB-RADV — supported

Affirmative path. Same demo estate, HCC19 with a progress note that assesses type 2 DM, monitors glucose, and continues metformin—documentation spans present for the evaluation window.

Disposition: SUPPORTED
Support score: 0.92 · evidence strength strong
Summary: 1 HCC evaluated · fully supported
Doc elements: Assess · Monitor · Treat (clinical note fields—not a CMS “MEAT standard” claim)
Seal status: ready_for_seal · schema areb-radv-1.0

Download areb-radv-sample.json

3. How a buyer walks the demo

Open the JSON samples — confirm fields counsel care about: disposition, evidence excerpts, content_hash placeholder, sealing_metadata.
Map to continuous readiness — packages draft while charts are still current, not after the CMS sample letter.
Seal narrative — creb-service validates the RADV profile and seals a legal_evidence_bundle (lob=radv). Optional CourtChain public block for filing digest match without decrypting PHI.
Act in SIU — prioritize escalate paths, keep supported packages for sample-day handoff, never invent a recovery guarantee from simulation alone.
Commercial posture — flat platform fee for contracted scope. No contingency cut of recoveries. Diligence packet + MSA/DPA samples linked below.