Claim explorer / evidence thread
Claim 12397
GRE 8220 • Alix • Paid • grand-design
risk 0.00
deadline Overdue / escalation ready
images 0
matched 0
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Resolved
Overdue / escalation ready
58d elapsed • 0d remaining • Overdue
AI Claim Analysis
Estimated Recovery Amount
Pending payment match
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Compliance Score
100/100
Higher is cleaner. Lower means more missing support, more friction, or more OEM pushback.
Violations Detected
2
OEM Response Deadline Exceeded • Payment Deadline Exceeded
Missing Items
0
No active evidence gaps are listed.
Deadline Status
Overdue / escalation ready
58 days open in the visible workflow.
Recommended Action
Escalate to State
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US dispute readiness
Evidence packet check
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Estimated pack size
17
Proxy count from docs, images, comments, and claim lines. Actual PDF pages still need final preflight.
Evidence packet lane
Compact packet candidate
Small enough for a compact escalation packet, assuming final PDFs stay clean.
Chronology
Ready to order
Visible span: May 7, 2026, 5:05 AM to Jun 25, 2026, 2:54 AM.
Indexed evidence
5 docs / 10 images
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Cross-reference base
Available
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Witness verification
Human verification required
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AI / citation gate
Manual check required
Escalation material must keep facts, inferences, citations, and source documents separated.
Expert evidence pressure
Not signalled
No expert-evidence trigger is visible from the current image rollup.
Escalation posture
Monitor
58 days open in the visible workflow; risk score 0.00.
Claim Summary
Evidence summary
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Path
/home/openclaw/nas/Dropbox/GRE 8220/8- Claims Paid/12397/Print Claim 938227.pdf
Timeline
First seen May 7, 2026, 5:05 AM • last seen Jun 25, 2026, 2:54 AM
Evidence flags
No active evidence gap flags
Comment Intelligence
Thread depth
26 indexed side comments on this claim.
Latest visible thread signal
Jan 15, 2026, 9:27 AM • processor • This paid on 1/14/26 on check 635559 for $375.09
Role mix
Dealer 0 • OEM 0 • Processor 20
Decision cues
Denial signals 0 • info / missing-doc asks 7 • approval signals 5
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Evidence Thread
Alix Mongiat
processor • Jul 25, 2025, 11:47 AM
@Kaitlyn R This states service call to re-diagnose the fireplace. Just curious if that is correct at the work is for the oven.
Alix Mongiat
processor • Jul 25, 2025, 11:49 AM
@Kaitlyn R This states service call to re-diagnose the fireplace. Just curious if that is correct as the work is for the oven.
Alix Mongiat
processor • Jul 25, 2025, 11:55 AM
PA 882563 is in draft status.
Kaitlyn Reinwand
dealer_or_external • Jul 25, 2025, 12:12 PM
@Alix M THAT IS CORRECT. THE FIREPLACE IS FINE. IT WAS USER ERROR. IT IS ON AN INTERNAL LINE
Alix Mongiat
processor • Jul 25, 2025, 2:05 PM
Thank you.
Alix Mongiat
processor • Jul 25, 2025, 2:06 PM
PA 882563 has been submitted for approval
Alix Mongiat
processor • Jul 31, 2025, 9:25 AM
Sent a follow up email to GD.
Alix Mongiat
processor • Aug 1, 2025, 2:16 PM
@Kaitlyn R @Michelle A
Job 2: Case 6079915
VIN 573FS3823RAA17955
LCI will approve up to 1.0 for labor.
This is pre-auth for the R&R of the FOLLOWING:
OVEN CONTROL-THERMOSTAT VALVE-2022120252 : C-FGR24D3A1A-11
PILOT FLAME-2021124185 : C-FSRI22LA-SS-PFlame
Alix Mongiat
processor • Aug 1, 2025, 2:17 PM
**Note that the part approved is not the whole oven.
Kaitlyn Reinwand
dealer_or_external • Sep 19, 2025, 1:23 PM
@Alix M THE TECHNICIAN INSTALLED THE PART THAT IS APPROVED UNDER THIS CLAIM.. HOWEVER, THE INSTALL TOOK HIM ALMOST AN HOUR AND A HALF.. IT ALSO TOOK HIM .50 TO DIAGNOSE THE OVEN. IS THERE ANYWAY THAT WE CAN GO BACK TO REQUEST MORE LABOR? 2 HOURS TOTAL.. AS OF RIGHT NOW, WE HAVE 1 HOUR APPROVED.
Alix Mongiat
processor • Sep 22, 2025, 9:22 AM
I have sent James Hite an email asking for the 2 hours.
Alix Mongiat
processor • Sep 24, 2025, 1:37 PM
@Kaitlyn R From GD (James Hite):
As a courtesy to the tech I will approve an additional .5 hours labor.
Alix Mongiat
processor • Sep 24, 2025, 1:38 PM
This has now been approved for 1.5 hours total. Let me know if that works for you or if you want me to go back again. If you do, can you tell me what exactly the tech had to do so we can break it down and ask for more time?
Kaitlyn Reinwand
dealer_or_external • Oct 9, 2025, 11:07 AM
@Alix M DATE OF COMPLETION:
09/08/2025
PARTS USED:
LINE 2: 82201539- RANGE OVEN CONTROL THERMOSTAT
COST: 103.92
QTY: 1
@Bonnie K PLEASE UPLOAD INVOICES.
Alix Mongiat
processor • Oct 14, 2025, 9:01 AM
Following up on the invoice. Thanks!!
Alix Mongiat
processor • Oct 15, 2025, 12:13 PM
Found invoice on GD website
Alix Mongiat
processor • Oct 15, 2025, 12:39 PM
Claim 938227 has been submitted for payment.
Bonnie Korte
dealer_or_external • Oct 21, 2025, 11:43 AM
@Alix M DO I NEED TO FIND THIS INVOICE?
Alix Mongiat
processor • Oct 21, 2025, 1:44 PM
@Bonnie K No, I was able to find this invoice due to it being ordered under the VIN
Alix Mongiat
processor • Oct 22, 2025, 11:16 AM
@Kaitlyn R From GD: Please advise was part PILOT FLAME-2021124185 replaced as I do not see it claimed or ordered? this is a portion of the approval.
Kaitlyn Reinwand
dealer_or_external • Nov 6, 2025, 6:53 PM
@Alix M im not seeing that it was… the oven is now being completely replaced on RO: 12397B
Alix Mongiat
processor • Nov 6, 2025, 9:00 PM
@Kaitlyn R I am not sure how to respond to Grand Design on this one. If the first repair wasn't done properly, I am not sure if they will deny a new oven. The approval on this was to replace the oven control valve and the pilot flame as stated above. Let me know how you would like me to respond to Grand Design.
Alix Mongiat
processor • Nov 12, 2025, 1:13 PM
Following up on this.
Alix Mongiat
processor • Nov 21, 2025, 9:06 AM
Following up on this. Do you want me to submit without that part and see what they say? Not sure if we risk them denying the whole oven or not.
Kaitlyn Reinwand
dealer_or_external • Nov 21, 2025, 10:36 AM
@Alix M WE WILL HAVE TO SUBMIT IT WITHOUT IT. THE APPROVAL FOR A COMPLETE OVEN IS ON A SEPERATE CLAIM AND ALREADY APPROVED.. IF THEY TURN AROUND AND DENY THAT, THEY CAN HAVE FUN WITH THIS CUSTOMER.
Alix Mongiat
processor • Jan 15, 2026, 9:27 AM
This paid on 1/14/26 on check 635559 for $375.09
Claim Files
Print Claim 938227.pdf
pdf • Jan 15, 2026, 9:27 AM • 16,416 bytes
/home/openclaw/nas/Dropbox/GRE 8220/8- Claims Paid/12397/Print Claim 938227.pdf
Invoice 1468075.pdf
pdf • Oct 15, 2025, 12:13 PM • 226,455 bytes
/home/openclaw/nas/Dropbox/GRE 8220/8- Claims Paid/12397/Invoice 1468075.pdf
12397 FINAL.pdf
pdf • Oct 9, 2025, 11:08 AM • 72,065 bytes
/home/openclaw/nas/Dropbox/GRE 8220/8- Claims Paid/12397/12397 FINAL.pdf
Integrity Management Advisors Mail - PA 882563 - extra half hour approved.pdf
mail-artifact • Sep 24, 2025, 1:39 PM • 137,474 bytes
/home/openclaw/nas/Dropbox/GRE 8220/8- Claims Paid/12397/Integrity Management Advisors Mail - PA 882563 - extra half hour approved.pdf
12397.pdf
main-pdf • Jul 25, 2025, 11:21 AM • 71,069 bytes
/home/openclaw/nas/Dropbox/GRE 8220/8- Claims Paid/12397/12397.pdf