{
  "title": "Claims adjuster scope and evidence data for AI review",
  "source_page": "https://fiund.com/industries/claims-adjuster-scope-evidence-data",
  "authorship": "Original fictional Fiund editorial exercise. No actual operating records or third-party source assets are included.",
  "example": {
    "title": "A current panel photo can support an observation without proving carrier acceptance",
    "context": "Two owned mock panels stand in for property. Original photo descriptions and scope cards are fictional and contain no people, home interiors or claim information.",
    "records": [
      [
        "CA1",
        "Photo P1 annotation",
        "Panel A, day 2: visible surface scratch in region R. Original image identity matches scope line A-R."
      ],
      [
        "CA2",
        "Practice scope S2",
        "A-R describes scratch observation and cites P1. Separate line B-R cites photo P0, explicitly superseded after panel B was replaced."
      ],
      [
        "CA3",
        "Review record",
        "S2 marked draft adjuster observation. No carrier acceptance or later panel-B inspection record supplied."
      ]
    ],
    "question": "Which scope line has a matching current observation, and what remains unsupported for panel B and carrier acceptance?",
    "answer": "CA1 and CA2 link the current scratch observation on panel A to A-R. B-R relies on superseded P0 after a replacement, so the packet lacks current evidence for the replacement panel's condition. CA3 marks S2 as a draft and supplies no carrier acceptance. Report observed condition, estimate lineage and review state separately; none of these records establishes a payable amount or a coverage outcome.",
    "failureModes": [
      "Treating an adjuster's observed feature as a carrier-approved scope or payment.",
      "Reusing an old component photo after the component identity changed."
    ],
    "fields": [
      [
        "Panel identity and photo date",
        "Defines the observed object and time."
      ],
      [
        "Region and scope-line reference",
        "Connects image evidence to text."
      ],
      [
        "Supersession and review authority",
        "Separates current observation from acceptance."
      ]
    ],
    "holdout": "Add a current B image showing no scratch but leave the scope draft unchanged. Require a documented discrepancy rather than silently rewriting either source.",
    "boundary": "Use owned props and original sample images. Exclude property files, location metadata, carrier tools and real estimates; payment and inspection judgments remain with authorized reviewers."
  }
}
