Compensability dispute labels stay structural before review. Honesty note: simplified workers compensation classroom toy model; not legal advice; toy model; structure only; human review required; no live external dependency.

Structured Visual

Jurisdiction: US; as of 2026-06-24; not legal advice; Code encodes toy workers compensation record structure, not claim advice, employment advice, medical advice, wage advice, insurer advice, hearing advice, settlement advice, appeal advice, or legal advice. RENDER STRUCTURE · REFUSE INTERPRETATION · CITE · ABSTAIN · HAND-OFF.

RENDER STRUCTURE · REFUSE INTERPRETATION · CITE · ABSTAIN · HAND-OFF: render structure, refuse interpretation, cite provenance, abstain when unsupported, and hand off to human review.

Compensability dispute label trace work_relatedness: unknown via work_relatedness=None compare=True notice: satisfied via notice=True compare=True medical_support: unknown via medical_support=None compare=True insurer_decision: unknown via insurer_decision=None compare=True
highlighted = computed this step

Workers compensation toy-model honesty note

Honesty note: simplified classroom workers compensation model; injuries, employers, notices, medical records, wages, insurer decisions, hearings, settlements, appeals, and deadlines vary; as of June 24, 2026; not legal advice; toy model; structure only; human review required; no live external dependency.

toy workers compensation model as of June24,2026\text{toy workers compensation model as of }June 24, 2026

Compensability disputes are labels

The toy trace separates work-relatedness, notice, medical support, and insurer acceptance or denial labels.

compensability labels only\text{compensability labels only}

Example dispute trace

The trace has 4 row(s) and leaves 3 review label(s) unknown.

unknown=3\text{unknown}=3

Labels are not claim findings

The trace recomputes 1 satisfied label(s), but no compensability, denial, acceptance, or benefit outcome.

satisfied=1\text{satisfied}=1

Diagram note

The diagram shows labels and review gaps. It does not decide whether a claim is accepted, denied, payable, or appealable.

labels to review\text{labels to review}

Jurisdiction: US; as of 2026-06-24; not legal advice; Code encodes toy workers compensation record structure, not claim advice, employment advice, medical advice, wage advice, insurer advice, hearing advice, settlement advice, appeal advice, or legal advice. RENDER STRUCTURE · REFUSE INTERPRETATION · CITE · ABSTAIN · HAND-OFF.

RENDER STRUCTURE · REFUSE INTERPRETATION · CITE · ABSTAIN · HAND-OFF: render structure, refuse interpretation, cite provenance, abstain when unsupported, and hand off to human review.

Compensability dispute label trace work_relatedness: unknown via work_relatedness=None compare=True notice: satisfied via notice=True compare=True medical_support: unknown via medical_support=None compare=True insurer_decision: unknown via insurer_decision=None compare=True

Summary

Compensability models should expose labels and review gaps.

labels gaps review\text{labels gaps review}