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GOLD-TMP-10

Temporal reasoning · gold-v0.1

Case inputs

As of
2026-06-20
Patient
65 years, GA
Request
Immunara for rheumatoid arthritis
Insurance
Northstar, Northstar Choice · NSC-773311
Policy
immunara-v0.1
Inputs
sha256:7ad65321f7c1…

Documents 2

Fax cover

fax_cover
SYNTHETIC RECORD - Example Pinehurst Rheumatology - Fax Cover Sheet - 2026-06-13
To: Northstar Choice Pharmacy Benefits
Re: Prior authorization request for Immunara
Patient reference SYN-6010. Member ID: NSC-773311. Pages: 1 of 1.

Physician note

problem_list
SYNTHETIC RECORD - Example Pinehurst Rheumatology - Problem List - 06/12/2026
Patient reference SYN-6010. 65-year-old woman. Dates in this list follow the MM/DD/YYYY convention.

- Seropositive rheumatoid arthritis, diagnosed 2015.
- Methotrexate 20 mg weekly from 03/09/2026 to 06/08/2026, discontinued for inadequate response.
- Type 2 diabetes, well controlled on metformin.
- Plan: proceed with Immunara; methotrexate trial failed.

Decisions by provider

AUTO_PROCESScorrect

Decided by: auto_process gate · auto_process 0.89

Judgments

p_yes for yes/no questions; ticks are the thresholds a gate compares each one with.

Diagnosis supported
0.980
Step therapy met
0.980
Documentation complete
0.950
Material contradiction
0.060
Missing evidence
NONE 0.970
others: DOSAGE 0.03
Gate path· 7 gates, in engine order
  1. providerpassed

    all five decisions present and well-formed

  2. agepassed

    patient.age=65, policy min_age=18

  3. contradictionpassed

    p_yes(material_contradiction)=0.060, review at >= 0.8

  4. documentationpassed

    p_yes(documentation_complete)=0.950, request info below 0.6

  5. missing_evidencepassed

    missing_evidence=NONE (p=0.970), request info at >= 0.7

  6. auto_processFIRED → AUTO_PROCESS

    min(required p_yes)=0.950, auto at >= 0.89; p_yes(material_contradiction)=0.060, blocks at >= 0.2

  7. default_reviewnot reached

passed = the gate checked and did not fire; not reached = an earlier gate decided.

  • all required judgments are at or above 0.89 and contradiction risk is below 0.2
Run details· q-v0.2

run_20260925T170857Z_b95be9 · q-v0.2 · immunara-v0.1 (v0.1)

auto_process 0.89, chosen on gen-v0.2-dev.

questions: q-v0.2 →

Show expected answer (evaluation only)