Will escalateR-PROVENANCE-PROVIDER · degrades this item
No approved record of the provider model behind Claims triage (MDL-001)
Claims triage (MDL-001) calls a third-party model as it is, so the training data is the provider's, and the record a reviewer needs is different: which model, which version, the provider's own documentation of its data, and what your product adds to it. Because the model reaches a consumer, a reviewer who cannot find that record cannot tell whether the provider's data practices were ever looked at before the model touched insurer data.
To fix: Record the provider's published model documentation by name, version and date, together with the data your product adds to it, and have that one page approved. The provider's documentation is the provenance record; your page is the evidence that somebody read it.
Will escalateR-MISSING-EV-GONE · blocks this item
Validation report not provided
1 response depends on an artifact that does not exist. An answer with nothing behind it is an assertion, and a reviewer under time pressure treats an assertion as an open question.
To fix: Produce the artifact, or withdraw the claims that rest on it.
Will be questionedR-STALE-CARD-MDL-001 · blocks this item
Claims triage (MDL-001) model card predates the current production model
The card was approved 2025-01-15 and the model was retrained 2026-06-01, 17 months later. The content may be strong; the date is the problem. A reviewer cannot tell whether the document describes what is running now, and that question costs them four seconds to ask and costs you a week to answer once the review is already running.
To fix: Compare the approved card against the model that is running today, write down what changed, and have the new version approved.