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Other literature type . 2026
License: CC BY
Data sources: Datacite
ZENODO
Other literature type . 2026
License: CC BY
Data sources: Datacite
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Execution-Time Acceptance Tokens for Insurance Claims Audit Standardization

Authors: Giuliano, Tony;

Execution-Time Acceptance Tokens for Insurance Claims Audit Standardization

Abstract

Insurance claims auditing relies on reconstructed narratives assembled after claim execution, often resulting in inconsistent evidentiary quality, audit friction, and regulatory exposure. Auditors and regulators require sufficient, appropriate, and contemporaneous evidence demonstrating that claims decisions and payments were authorized under defined controls.This technical application note applies execution-time acceptance criteria and cryptographically bound acceptance tokens to insurance claims processing. Acceptance criteria are sealed prior to execution and evaluated contemporaneously during claim handling. Satisfaction of criteria generates acceptance tokens that condition claim approval, payment authorization, and finality. Overrides are constrained, role-restricted, and immutably logged.The method produces standardized, machine-readable reliance authorization packages suitable for Model Audit Rule (MAR), SOC, internal audit, and regulatory reliance.Applicable to:• Property & casualty claims• Workers’ compensation claims• Healthcare reimbursement claims• Third-party administrator (TPA) claim audits• Reserve release and claim payment authorization

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
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