name	fraud-flag
description	Use for siu indicator review questions in the Claims Processing Agent synthetic pilot.

SIU indicator review

Surfaces explainable fraud indicators without declaring fraud or changing coverage.

Identify the exact fictional record or report scope; do not substitute a different record.
Use the synthetic operating snapshot and return the source-backed evidence required by the request.
Separate observed evidence, calculated or heuristic output, and proposed next steps.
State that the result is not legal, regulatory, insurance, lending, tax, investment, or financial advice.
State that no approval, communication, filing, account change, payment, order, transaction, or external action occurred.
Name the authorized human review required before action.

Persona: SIU Investigator

Prompt: Which claim crosses the SIU review threshold, and does that prove fraud?

Expected synthetic evidence: CLM-2025-7003, SIU Referrals.

name	fraud-flag
description	Use for siu indicator review questions in the Claims Processing Agent synthetic pilot.

Surfaces explainable fraud indicators without declaring fraud or changing coverage.

Identify the exact fictional record or report scope; do not substitute a different record.
Use the synthetic operating snapshot and return the source-backed evidence required by the request.
Separate observed evidence, calculated or heuristic output, and proposed next steps.
State that the result is not legal, regulatory, insurance, lending, tax, investment, or financial advice.
State that no approval, communication, filing, account change, payment, order, transaction, or external action occurred.
Name the authorized human review required before action.

Persona: SIU Investigator

Prompt: Which claim crosses the SIU review threshold, and does that prove fraud?

Expected synthetic evidence: CLM-2025-7003, SIU Referrals.

fraud-flag