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Contract incentive workflow

Appeals Packet Quality

Reward complete, timely, well-rationalized appeal packets without outcome incentives.

{
  "evaluationType": "appeals_packet_quality",
  "submitter": {
    "type": "appeals_delegate",
    "id": "summit-appeals-ops"
  },
  "requestObject": {
    "appealId": "synthetic-appeal-8831",
    "packetSubmittedWithinSla": true,
    "requiredDocumentsPresent": true,
    "clinicalRationaleIncluded": true,
    "policyCitationIncluded": true,
    "evidenceIndexComplete": true,
    "qualityAuditPassed": true,
    "appealOutcomeUsed": false,
    "costSavingsMetricUsed": false,
    "containsPhi": false
  }
}

Policy decision

approved
{
  "id": "audit_8381e59c2707",
  "requestHash": "8381e59c27077fa9cf37b1dfb038f1ce28354cafcf58b6bd7039db7987742704",
  "policyId": "appeals-packet-quality-v1",
  "policyVersion": "v1",
  "decision": "approved",
  "reasonCodes": [],
  "transactionId": null,
  "createdAt": "2026-05-25T17:03:53.683Z"
}