ClaimReadyDemo: synthetic claims, simulated insurer

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What the insurer's TPA desk receives. The insurer here is simulated: it re-runs the policy rules, evidence links and duplicate check itself, then applies fast-lane rule FL-1. Clean claims up to Rs 75,000 are approved automatically; everything else goes to a medical adjudicator with the reasons attached.

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Decision times are simulated: the re-check runs in milliseconds and a fixed stand-in delay of about 2 seconds is added. No real insurer system is connected. Agent time is how long the agent worked on the claim, excluding time spent waiting for the desk.