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Proof center

Observed August 31, 2026

Tested against the cases that should move—and the ones that should stop.

Kept Count's repeatable synthetic suite checks qualifying paths, deliberate nonqualifiers, changing monthly states, and duplicate-month conflicts against a fixed answer manifest. No PHI. No customer records. No inflated capacity claim.

Illustrative still life of medical charts sorted into supported and held stacks. Not Kept Count staff, customers, or patients.

Expected holds

Failure cases were designed in—not edited out.

The answer manifest deliberately included four reasons a record should not move into the qualifying path. The separate rule pass matched each expected category and output flag.

Expected nonqualifying

300

Not Medicare

Expected nonqualifying

300

No consent

Expected nonqualifying

200

Missing element

Expected nonqualifying

100

Duplicate month

An additional stress case inside the qualifying population

The packet also included 100 mid-month tier-change cases to test how a changing monthly state was classified. They are part of the same 10,000 records and are not part of the 900 nonqualifying total.

Stateless execution boundary

A clean-room software check, with the boundary in plain view.

The run isolated classification behavior from production systems. That makes the result reproducible, but deliberately narrower than a production-readiness test.

No PHI

Every name and identifier followed a deterministic synthetic convention.

No database

The stateless classifier ran without a database connection.

No network

The run made no network calls or external service requests.

No persistent writes

It created no lasting application or CRM records.

From classification to monthly close

See how a held record stays held.

The synthetic monthly-close view translates the control model into a reviewable queue. It illustrates the intended workflow; it is not evidence of a production deployment or submitted claim.

Synthetic interface

Monthly-close control view

The interface keeps exceptions and final human review visible before any downstream billing decision.

  1. 01

    Separate candidates from holds

    A review queue keeps unsupported work out of the ready path.

  2. 02

    Give each exception a reason

    Consent, coverage, missing evidence, and overlap questions remain visible.

  3. 03

    Keep a named human reviewer

    Provider and billing teams retain approval and final claims authority.

  4. 04

    Export evidence, not a claim

    Kept Count prepares review material; it does not auto-submit claims.

Product walkthrough

Watch one month move from scattered work to human review.

The walkthrough explains the input, the deliberately blocked cases, the stateless boundary, and the human approval point. All people shown are synthetic.

  • Start with a fixed synthetic answer manifest
  • Compare every output with the expected answer
  • Inspect reason-coded holds and tier changes
  • Keep the final operating decision with the provider team

Synthetic proof walkthrough

No PHI

Methodology

Reproducible by design.

The receipt pins the seed, command, source hashes, measured runtime, expected categories, and result. It can be inspected without turning a narrow software test into a broader production claim.

The current reference receipt records 10,000 synthetic cases: 9,100 expected qualifying outputs and 900 deliberate nonqualifiers. This is the documented test packet, not a capacity ceiling.

  1. Step 1

    Generate a fixed answer manifest

    Seed 42 produced the same 10,000 synthetic people and expected output categories for repeatable evaluation.

  2. Step 2

    Pin the code under test

    The receipt records the base commit and SHA-256 hashes for the generator and classifier sources.

  3. Step 3

    Run without application state

    Environment connections were removed before three deterministic 10,000-record scanner scenarios ran.

  4. Step 4

    Compare every expected code and flag

    A separate rule pass matched the expected code and qualifying flag for all 10,000 synthetic records.

Run count

3 stateless scenarios

Observed classification time

60–70 ms per run

Not a production-throughput claim

Receipt

docs/evidence/synthetic-scale/10000/receipt-2026-08-31.json

What this does not prove

Strong evidence begins with an honest boundary.

A passed synthetic classifier test is useful evidence about deterministic software behavior. It is not a proxy for practice policy, human judgment, production controls, or real-world acceptance.

  • Clinical eligibility or appropriateness
  • Billability, reimbursement, revenue, or payment
  • Database, RLS, browser, API, or production concurrency behavior
  • Covered-PHI readiness or production authorization
  • Customer acceptance or real-world outcomes
  • CMS compliance, certification, or an audit outcome
A care visit between a clinician and an older patient
Illustrative photography · Age Cymru / Unsplash

What the evidence is for

A passing test is only useful if it earns a real conversation.

Every number above exists to get your reviewers to the table, not to stand in for their judgment.

Independent review welcome

Bring your clinical, billing, and compliance reviewers.

We will make the evidence and its limitations available for independent review, then map the remaining practice-specific controls before any covered-data or production work begins.

Book a proof review

No patient data or technical preparation is needed for the first conversation.