Claim CLM-320A92A4

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CLM-320A92A4

Travel
Needs More InfoPending Review
Policy Details
Policy Number M-REV4769179
Insurance Plan Ultra Plan
Claim Amount
$917.61
Important Dates
Created Nov 17, 2025
AI Recommendation
Needs More Info
AI Confidence
95%
High Confidence
History

Claim Description

The user has submitted a claim for trip cancellation due to their wife's sickness. They have provided booking and cancellation confirmations for flights and hotels, but the required medical documentation is still missing.

Attached Files

(15)
15 file(s) attached

AI Analysis

AI Reasoning

The user has provided most of the necessary documents (booking confirmations, cancellation proofs, proof of payment) to support their claim. The total non-refundable amount has been calculated from these documents. However, the claim is for medical reasons, and the crucial medical certificates are missing. The claim cannot be approved without this evidence as per the policy. The recommended action is 'needs_more_info' to request these specific documents from the user.

Confidence Breakdown

Overall Confidence 95.0%
Risk Assessment Low Risk
Recommendation Needs More Info

Human Review

Awaiting Human Review

This claim is waiting for human review and approval.

Additional Information

System Information

Claim ID
320a92a4-2ab6-4f0f-847c-34da47135a6a
Processing Agent
ClaimLLM
Last Updated
November 17, 2025 at 9:07 AM

Timeline

Submitted: Nov 17, 9:07 AM
Last Updated: Nov 17, 9:07 AM