Methodology / controlled settlement audit

THE MONEY CLAIM IS THE LAST STEP, NOT THE FIRST.

OutcomeRecon separates evidence collection, contract authority, deterministic calculation, economic ownership and settlement realization. A finding does not become recoverable money merely because it looks anomalous.

Operating doctrine

AI may propose interpretations and evidence candidates. A human authorizes the applicable rulebook. Only the deterministic engine computes money.

The applicable signed contract, order form, amendment, rate card or client-authorized equivalent controls the settlement position. Public vendor policy can be a reference profile, but it does not override the customer's governing commercial terms.

OutcomeRecon preserves currencies separately, retains vendor-favorable effects, quarantines unsupported financial rows and distinguishes issued credit from applied benefit.

Controlled workflow

GateRequired evidenceDecision
1. ScopeVendor, invoice period, currency, contract version, finality windowProceed only with written scope
2. IntakeRedacted exports, source hashes, data termsAccept, reject or request gap fill
3. MappingRole/column map, row counts, joins, exact invoice tie-outAuthorize canonical mapping
4. RulebookApplicable pricing and validity rulesNamed human approval required
5. ReconciliationManifests, quarantine, findings, Claim GraphSeparate exposure from claimable money
6. Claim QAEvidence trace, caveats, human reviewClient sign-off before vendor contact
7. RealizationVendor response, credit memo, posted invoice or account ledgerClose only at applied outcome

No-go gates for a money claim

A claim must not enter Recoverable Now when any material gate is unresolved. This includes:

  • the governing policy is not an applicable signed or expressly authorized version;
  • amount or three-letter currency is missing;
  • required operational evidence is absent;
  • the contractual finality window is not mature;
  • Commission Collision ownership is unresolved;
  • material inputs failed, were skipped or unexpectedly quarantined;
  • invoice-level minimums, commitments, allowances, discounts, base fees or true-ups change the total but are not modeled.

Claim Graph

Multiple findings can describe the same economic dollar: a reopen event, a later human correction and a policy invalidity can all refer to one billed outcome. The Claim Graph maps those descriptions to a unique economic identity so the same amount is not summed more than once.

Potential cross-vendor double claims are treated separately as Commission Collision. Two fees on the same object do not automatically mean duplication because contracts can legitimately stack fees. Ownership must be resolved before the exposure becomes recoverable.

Recovery realization

StateEvidenceApplied benefit?
Proposed / flaggedInternal finding onlyNo
Client approved / sentClient approval and vendor submissionNo
AcceptedVendor accepts claim or remedyNo
Credit issuedCredit memo or vendor confirmationNo — leakage remains possible
Credit appliedPosted invoice, statement or account ledger tied to claimYes, subject to agreed definition
ReversedLater debit, reversal, expiry or clawbackSubtract from applied benefit