01 / REPAIR EVIDENCE
Does the repair story hold together?
Connect the complaint, diagnosed cause, and completed correction with technician notes, diagnostic results, photos, and available repair documents.
- Check whether the 3Cs explain the repair.
- Surface missing support or conflicting details.
- Identify the specific evidence a reviewer needs.
≡Example: water-pump replacementREPAIR ORDER
- Complaint
- Customer reports coolant loss.
- Cause
- “Pump leaking.”
- Correction
- Water pump replaced.
Question for reviewThe photo shows coolant near the pump and thermostat housing. Request a pressure-test result or technician note that identifies the leak source.
02 / POLICY & COVERAGE
Which policy applies to this repair?
Evaluate the claim against the relevant OEM policy, product eligibility, coverage conditions, and authorization requirements.
- Check dates, mileage or operating hours, and component eligibility.
- Use the applicable terms and policy version.
- Surface exceptions that require an authorized decision.
≡Coverage reviewILLUSTRATIVE
- Initial check
- Reported dates and usage pass configured checks.
- Open question
- Does the diagnosed condition meet the applicable coverage terms?
Next stepResolve the repair-evidence gap, then apply the relevant policy. An initial eligibility check does not establish final coverage.
03 / PARTS & LABOR
Is the work reasonable for the supported repair?
Review parts, quantities, labor operations, time, and rates against the OEM’s approved references and relevant repair context.
- Check part applicability and submitted quantities.
- Compare labor lines with the relevant repair allowance.
- Flag possible overlaps or unexplained differences.
≡Labor reviewILLUSTRATIVE
- Main operation
- Water-pump replacement.
- Additional line
- A separate access operation is also billed.
Question for reviewConfirm whether the access operation is included in the primary allowance. Adjust the line only when the reference and authorized review establish an overlap.
04 / DUPLICATES & INCONSISTENCIES
What changes when you see the service history?
Compare available records to identify potentially repeated claims, repeated operations, or conflicting repair details that deserve attention.
- Review related claims and repair orders.
- Distinguish repeat repairs from possible duplicate billing.
- Flag inconsistencies for clarification with supporting context.
≡History reviewILLUSTRATIVE
- Potential signal
- A similar repair appears on the same asset.
- Review context
- Repair date, mileage or hours, invoice, and prior correction.
Next stepEstablish whether this is a duplicate submission, a comeback, or a separate failure. A similarity flag is a reason to investigate.
05 / PAYMENT READINESS
What still stands between this claim and payment?
Check whether repair documents, submitted amounts, resolved exceptions, and required approvals support the next payment step.
- Match the final repair order to the authorized claim.
- Identify missing documents or unresolved differences.
- Apply the OEM’s approval and payment controls.
≡Readiness reviewILLUSTRATIVE
- Open items
- Diagnostic support and labor clarification.
- After resolution
- Reassess the claim and confirm the supported amount.
Next stepRoute the resolved claim for authorized approval or payment release under the configured process.