Fictional worked example

Delegated claims referral

A fictional referral demonstrates how source evidence, governing conditions, system contribution and human judgement can be linked without exposing customer or policy data.

Latest draftVES 1.2 DraftPublished:

For implementation review. VES 1.1 remains the current active, citable version until VES 1.2 is formally published.

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All identifiers, issuers and references in this example are fictional, opaque or redacted. It contains no personal or real claim data.

Scenario

A claims workflow identifies that a fictional claim exceeds a referral threshold. The workflow records a runtime event, a human reviewer confirms escalation, and the organisation commits to senior review. The package declares the applicable wording and authority context, but the delegated authority record cannot be independently retrieved.

Point-in-time replay view

Claim context fixed

A redacted context snapshot is referenced.

Conditions identified

Versioned fictional wording and referral rules are linked.

Workflow threshold reached

A runtime receipt records the system contribution.

Human review completed

An opaque reviewer role approves escalation.

Referral committed

The organisational outcome becomes effective.

Why the result is Qualified

Package result

Qualified

Qualified

Source conformance

Verified

Declared public source structures are present.

Integrity and provenance

Qualified

Digest declarations are present; this static demonstration does not verify signatures.

Temporal applicability

Verified

Decision and applicability timestamps are structurally present.

Business authority

Indeterminate

The delegated authority record was not independently retrieved.

Structural completeness

Qualified

Required public components are present with an authority limitation.

Replayability

Qualified

Opaque manifest references are present; external retrieval is outside this demonstration.

Visible limitations

  • Structural validation only — signatures were not verified and external evidence was not retrieved.
  • A valid runtime receipt alone does not establish business authority or a complete decision-state.

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