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Unsigned referral
Score
98.0Pass · 1m 14s
Criteria
Correctly routed as return1.0
Return reason matches "missing_signature"1.0
No spurious ORM^O01 emitted1.0
Patient
Patient
Diane Kowalski, 54F
MRN
MRN-MC-00101
Referrer
Dr. Michelle Okonkwo (NPI 1467304995)
Payer
Blue Shield of California
Procedure
CPT 70553 — MRI brain with/without contrast
Decision
Return · missing_signature (no HL7 emitted)
Changes made by agent
SFTP Outbox—→referral-03-unsigned.pdf + .return.json written to /outbox/returns
HL7 Interface—→No ORM emitted (correctly)
Agent Activity
0:00
Fetched + OCR referral PDF
Detected empty provider-signature field; all other fields extracted cleanly.
0:21
Routing decision: return
Signature missing → return path, reason token "missing_signature" per rubric vocabulary.
0:44
Wrote return sidecar
Copied PDF to /outbox/returns and wrote referral-03-unsigned.return.json with structured reason.