Glossary

Term	Definition
Denial	A source-backed indication that payment or claim adjudication has denied or reduced reimbursement.
Claim	A billing transaction or canonical claim record derived from an authoritative source.
Claim line	A service-level component within a claim.
Case	A DenialOS operational work item around a denial or related revenue-cycle task.
Evidence	Source or derived material used to support a workflow decision.
Source fact	A fact directly represented in an authoritative source.
Derived fact	A deterministic transformation of source facts.
Model inference	An output produced through a model process.
Recommendation	A proposed action, not an executed action.
Unknown	A required fact that is not established by available evidence.
Coverage	A canonical representation of insurance coverage context.
Authorization	An approval/authorization record or context when represented by source data.
Payer	The payer organization associated with claim/coverage activity.
Canonical record	Vendor-neutral DenialOS representation of source data.
Source record	Original upstream representation.
Provenance	Metadata describing where a DenialOS fact came from.
Connection	Customer-specific integration instance.
Connection revision	Versioned connection configuration.
Checkpoint	Progress marker for resumable synchronization.
Reconciliation	Comparison of source and DenialOS state/progress/control totals.
Agent	Governed software capability operating within defined boundaries.
Voice agent	Current governed simulation/dry-run voice workflow; live telephony is disabled.
Workflow	A controlled sequence of operations and state transitions.
Outcome	An observed result recorded after work occurs.