The canon · Oversight · AIS-6.4

Describe how consumers are informed that an AI system was used in a decision.

This is one of the twenty-five questions a carrier reviewer sends a vendor, in the words an examiner uses. Below it: the answers that make a reviewer stop on this item, derived by running Vaulith's rules engine on an estate that gets everything wrong, and the free questions that reach it.

What stops a reviewer here

One finding reaches this item.

Will be questionedR-NO-CONSUMER-DISCLOSURE · blocks this item

No record that consumers are told an AI system took part, for Claims triage (MDL-001)

Claims triage (MDL-001) reaches a consumer, and there is no record that the consumer is told an AI system was involved in the decision. The bulletin asks carriers how consumers are informed, and the carrier answers for its vendors. A reviewer will not usually stop on this, but they will ask, and the answer "we do not" is one they have to write into their own file.

To fix: State which party sends the consumer the decision. If the carrier does, supply the sentence it can add, saying that an automated system took part and how to ask for a human review, and the point in the workflow where it applies, and record that in the contract or the data-processing agreement. If you do, add the sentence to your own notice and record where it appears.

How it is scored

Credit per verdict, times the weight.

A contextual item carries weight 1. A pass earns 1.00 of it, a questioned answer 0.60, an escalated one 0.20 and a stop 0.00. An unanswered item earns nothing and still takes the citation penalty, so a profile cannot be improved by leaving an inconvenient question blank. The whole arithmetic is shown on the homepage and in every assessment.