Demo A · run suscripcion-planlang-a-002-200-v1.5 · one real trace
One case, end to end
What the agent received, every step it took and the signal it left when choosing a path, the person who decided when needed and what it answered, just as its trace recorded it.
This run’s human decisions were simulated. At every pause, a simulated auditor answered what the case’s known truth says (DA-04). Cases, members and the benefits plan are synthetic.
The case at a glance
Reading as leader. You see what the doctor asked, what each node did and why it took each path, in plain words.
Reading as expert. Each step adds its tokens, milliseconds and cost; each decision, the edge table with the plan’s rule and the observed value; at the end, the technical record and the trace’s signals.
A-190missing: 2 clarifications
The doctor completes the details over two replies: two clarifications complete it and it is approved.
Final decision: approve, without a person.
Takes in
- The doctor’s text
Authorisation request. 26-year-old man. Symptoms for several months that have not improved with conservative care. Request: 24-hour Holter monitoring. Kind regards.
- The attached orderSYN-P-007 · care ambulatoria · Order signed by the treating doctor.
- Member: man, 26 years oldname, ID, medical record, phone and email are masked before the model (decision D1)
Does
10 stepsThe doctor requested “24-hour Holter monitoring” for a 26-year-old man. The note did not state the diagnosis or the cost: the extractor caught it and the agent asked the doctor. After 2 answers from the doctor, the data were complete (0.85 confidence). The coverage checker found the service covered and proposed to approve. No escalation rule held and the agent decided to approve on its own. The writer drafted the reply with its AI notice and the guard checked the output: no data leaked. It took 20.8 s.
Delivers
- The reply to the member, with its AI notice
- The trace, with its fingerprint0da448aa6fc3…
Expert
The trace’s technical record
- Trace
- planlang-trace/v1 ·
0da448aa6fc35f691bade2a7667673e4cb7a3a963dc17d8aa2ab346528d3202f - Run
- suscripcion-planlang-a-002-200-v1.5 · variant multiagente · result completo
- Errors
- provider: none · schema on handoff: no
- Known truth
- decision aprobar · must escalate no · cycles needed 2
- Case
- faltante · faltante_dos_ciclos · seed
planlang-a-002
The path, step by step
real · steps and edge decisionsEach step says what the node did and, where a path must be chosen, why it took that branch: the signal it left, the plan’s rule and the observed value.
- 1enrutadorno model
Classified the care type: outpatient.
type enrutador · in 0 · out 0 tokens · 0 ms · US$ 0.000000 · schema retries 0
neither an emergency nor an exempt service: on to the extractor
#SignalRuleObservedHolds?Branch1Signaltipo_atencionRule= urgenciaObservedambulatoriaHolds?noBranch— 2Signalservicio_exentoRule= trueObservednoHolds?noBranchextractor - 2extractor3.5 s · 4,324 tokens
Read the doctor’s text and turned it into fields, with a stated confidence.
type modelo · in 4026 · out 298 tokens · 3461 ms · US$ 0.012734 · schema retries 0
data are missing: it asks the doctor
#SignalRuleObservedHolds?Branch1Signalproveedor_no_ disponibleRule= trueObservednoHolds?noBranch— 2Signalcampos_faltantes_ countRule> 0Observed2Holds?yesBranchaclaracion - 3aclaracion3.1 s · 1,294 tokens
Asked the doctor (cycle 1).
Question«Para procesar la solicitud de Holter de 24 horas, necesitamos que nos indique el diagnóstico (o sospecha diagnóstica) que justifica el estudio y el costo estimado del procedimiento.»
Answer«Aclaración del médico. Diagnóstico: Arritmia en estudio.»
In the original Spanish: the model asks in the case’s language.type modelo · in 1168 · out 126 tokens · 3081 ms · US$ 0.005058 · schema retries 0
back to the extractor with the answer
#SignalRuleObservedHolds?Branch1Signalproveedor_no_ disponibleRule= trueObservednoHolds?noBranch— 2Signalciclos_aclaracionRule≥ U3 = 2Observed0Holds?noBranchextractor - 4extractor3.5 s · 4,380 tokens
Read the case again with the doctor’s answer.
type modelo · in 4056 · out 324 tokens · 3493 ms · US$ 0.015692 · schema retries 0
data are missing: it asks the doctor
#SignalRuleObservedHolds?Branch1Signalproveedor_no_ disponibleRule= trueObservednoHolds?noBranch— 2Signalcampos_faltantes_ countRule> 0Observed1Holds?yesBranchaclaracion - 5aclaracion2.8 s · 1,264 tokens
Asked the doctor (cycle 2).
Question«Para continuar con la solicitud de Monitoreo Holter de 24 horas, ¿podría indicarnos el costo estimado del procedimiento?»
Answer«Aclaración del médico. Costo estimado: 220 unidades sintéticas.»
In the original Spanish: the model asks in the case’s language.type modelo · in 1160 · out 104 tokens · 2849 ms · US$ 0.004807 · schema retries 0
back to the extractor with the answer
#SignalRuleObservedHolds?Branch1Signalproveedor_no_ disponibleRule= trueObservednoHolds?noBranch— 2Signalciclos_aclaracionRule≥ U3 = 2Observed1Holds?noBranchextractor - 6extractor4.0 s · 4,530 tokens
Read the case again with the doctor’s answer.
type modelo · in 4094 · out 436 tokens · 3971 ms · US$ 0.016995 · schema retries 0
nothing missing: on to the coverage checker
#SignalRuleObservedHolds?Branch1Signalproveedor_no_ disponibleRule= trueObservednoHolds?noBranch— 2Signalcampos_faltantes_ countRule> 0Observed0Holds?noBranchverificador_ cobertura - 7verificador_coberturano model
Applied the benefits plan rules: service covered; proposal: approve.
type regla · in 0 · out 0 tokens · 0 ms · US$ 0.000000 · schema retries 0
- 8decisionno model
Checked the plan’s 6 escalation rules, in order.
type enrutador · in 0 · out 0 tokens · 0 ms · US$ 0.000000 · schema retries 0
no escalation rule holds: on to the writer alone
#SignalRuleObservedHolds?Branch1Signalcarga_detectadaRule= trueObservednoHolds?noBranch— 2Signalsenal_confianzaRule< U1 = 0.75Observed0.85Holds?noBranch— 3Signalcosto_estimadoRule> U2 = 1000Observed220Holds?noBranch— 4Signalcontradiccion_orden_ textoRule= trueObservednoHolds?noBranch— 5SignalpropuestaRule= negarObservedaprobarHolds?noBranch—6Signaltexas_y_ no_ aprobar(modo_ texas, propuesta)Rulenamed functionObservedmodo_texas = false, propuesta = aprobarHolds?noBranchredactor - 9redactor3.9 s · 1,724 tokens
Wrote the reply to the member, with the AI notice.
type modelo · in 1347 · out 377 tokens · 3919 ms · US$ 0.007297 · schema retries 0
- 10guardia_salidano model
Checked the output: 0 findings, severity 0.
type regla · in 0 · out 0 tokens · 0 ms · US$ 0.000000 · schema retries 0
The reply and the guard
real · salida_final and guardia_salidaYour request for a 24-hour Holter Monitoring (SYN-P-007) has been approved. You can have this test with your doctor's referral. If you have questions about the process, please contact your health plan.
Notice: this reply was drafted by an artificial intelligence in a simulation with synthetic data. No denial is issued without review by a person.
Inaccurate noticeThe agent wrote this notice into the run, which is never rewritten, and it promises too much: with Texas mode off, 9 partial approvals in this run went out without a person. It holds for a full denial: from plan v1.5.1 on the agent writes it that way, and this run is from v1.5.
Output guard: fixed rules, no model
- Actions attempted
responder_afiliado- Actions run
responder_afiliado- Instruction in the input
- none
- Findings in the output
- 0
- Action severity
- 0
The 18 signals the trace leaves
Expert
The ones the plan requires in every trace: the verifier and the playground read from here.
- campos_faltantes_count
- 0
- carga_detectada
- no
- ciclos_aclaracion
- 2
- contradiccion_orden_texto
- no
- costo_estimado
- 220
- decision_final
- aprobar
- error_proveedor
- —
- latencia_total_s
- 20.77
- modo_texas
- no
- nodos_visitados
- enrutador → extractor → aclaracion → extractor → aclaracion → extractor → verificador_cobertura → decision → redactor → guardia_salida
- pausa_humana
- no
- propuesta
- aprobar
- proveedor_no_disponible
- no
- senal_confianza
- 0.85
- servicio_exento
- no
- severidad_accion
- 0
- tipo_atencion
- ambulatoria
- tokens
- 17516