1.7 KiB
1.7 KiB
DRE Claim Audit Trail
What Gets Tracked
Every edit to a claim submission is recorded with four fields:
- What changed (field name, old value → new value)
- Who made the change (username or "System")
- When (timestamp)
- Why (optional note field)
Color Coding
- Amber/gold — DRE team edit (e.g. "John (DRE) changed Amount: $12,000 → $12,450")
- Blue — System action (e.g. "System changed Status: Submitted → AI Review")
- Purple — AI re-analysis triggered by new documents (e.g. "System re-analyzed claim — Score: 78 → 82 ⬆")
- Green — Client action (e.g. "Robert Smith created claim")
Edit Scope
- Open claims ONLY — closed claims are read-only
- Document uploads trigger AI re-analysis but are not "edits" in the audit trail sense (they appear in the timeline instead)
- Change reason field is optional for DRE team edits; auto-populated for system changes
When Re-analysis Fires
- New document uploaded by client
- Claim amount edited by DRE team
- Claim status changed
Each re-analysis event records: previous score → new score, reason, and timestamp. The score delta is visible in both the case timeline and the change history.
Data model
{
"claim_id": "DRE-2026-0042",
"entries": [
{
"timestamp": "2026-07-08T10:15:00-04:00",
"actor": "John (DRE)",
"actor_type": "team",
"field": "amount",
"old_value": "$12,000",
"new_value": "$12,450",
"reason": "Corrected from invoice"
}
]
}
Enforcement
- Open claims: allow edits, track every change
- Closed claims: read-only — no edits permitted
- Audit trail included in DRE Internal Binder on case close