Disclaimer
Educational decision support - not a case determination.
Claims Field Guide provides general educational information for claims, SIU, investigative, risk, and related professionals. Content is not legal advice, medical advice, a fraud determination, a compensability opinion, or a substitute for carrier procedures, jurisdictional requirements, professional licensing rules, or consultation with qualified counsel.
Investigative methods must be evaluated for lawfulness, proportionality, client authority, jurisdiction, factual basis, and policy requirements. Examples and tools are designed to improve questions and planning; they do not guarantee outcomes.
Any future automated or interactive assessment is intended as decision support only. Human review and professional judgment remain necessary.