Releases: linus10x/payer-agent-audit
Release list
v0.1.4
v0.1.3
v0.1.2
Documentation release. README upgraded to the conversion standard (buyer-first hook, live CI/release badges, inline trust boundary, family block). Medical-necessity scope disclaimer unchanged. No source changes. Archived to Zenodo (concept DOI 10.5281/zenodo.20564377).
v0.1.1 — DOI + public-surface fact-check
Documentation and metadata patch (no code or behavior change from v0.1.0).
- Backfilled the Zenodo DOI (concept 10.5281/zenodo.20564377) into the citation metadata + README badge.
- Post-publication fact-check: regulatory cites (CMS-0057-F / RIN 0938-AU87, 42 CFR 438.210(d), ERISA 29 CFR 2560.503-1, ACA 45 CFR 147.136, NAIC) and the litigation matters-of-record re-verified against primary sources.
- Scrubbed internal build-process references from public files and strengthened the internal-notes lint.
Carries forward v0.1.0: five corrected-spec governance primitives + module (a) health-payer controls, 100% line coverage, 100% mutation kill, zero runtime dependencies. Reference IP for adoption; makes no medical-necessity or clinical determination. Dual-licensed MIT OR Apache-2.0.
v0.1.0 — health-payer governance (module a)
Reference IP for adoption — documented, tested governance patterns for autonomous AI agents in health-insurance / payer operations (utilization management, prior authorization, claims/appeals), aligned to the NAIC Model Bulletin framework. Not a deployed control, and it makes no medical-necessity or clinical determination.
What's in v0.1.0 (module (a) — health-payer)
- Five corrected-spec primitives: autonomy-ladder level-gate (independent attestation), sovereign veto (un-self-clearable, mandatory production authorizer, Unicode-confusable-hardened), hash-chain ledger (genesis-branching verifier; external witness in production), DEFCON (transition-direction guard), effective-challenge harness (challenger ≠ primary; attested independence).
- Health-payer controls: funding-type obligation routing (Medicare Advantage→CMS-0057-F · Medicaid/CHIP→42 CFR 438.210(d) · self-funded→ERISA 2560.503-1 · QHP-FFE→ACA 147.136 · fully-insured→state DOI), UM-timeliness, clinician-of-record-on-denial, appeal/IRO pathway.
- Assurance: 100% line coverage, 100% mutation kill, five AL-PROBES, a golden corpus of public matters of record (primary-source URLs), a payer-not-FDA-SaMD boundary scan,
mypy --strict, zero runtime dependencies,py.typed.
Honesty discipline
This release ships its own FAILURE-MODES, LIMITATIONS, NEGATIVE-USE-CASES, and a trust-boundary ARCHITECTURE diagram. Detection, not prevention. Recordkeeping, not medical-necessity.
Dual-licensed MIT OR Apache-2.0. Independent research; no employer or client IP or confidential material.