# Review a Claims Specification Prompt

```text
Review this claims implementation worksheet against the protocol/SAP TRACE-IDs,
data dictionary, and source-holder documentation.

For every MAP-ID, OBS-ID, CODE-ID, DATE-ID, DATA-ID, EXP-ID, OUT-ID, CENS-ID, and QA-ID, assess:
- Field exists and source version is named.
- Enrollment and medical/pharmacy benefit observability are explicit.
- Transaction statuses, reversals, duplicates, refill overlap/stockpiling, grace,
  runout, switching, and restart rules are selected or visibly Unresolved.
- DATA-ID separates drug-supply runout from claims adjudication lag, service cutoff,
  extract cutoff, and evidence of data maturity.
- Inpatient/outpatient dates and same-stay roll-up are reproducible.
- Code-list version/provenance and endpoint validation evidence are documented.
- Death, disenrollment, data cutoff, and treatment changes have an estimand-linked role.
- QA expected results match the stated algorithm; no synthetic fixture is presented as validation.

Return a defect register with: issue ID, affected stable ID, evidence, consequence,
required correction, owner, and whether programming must stop. Do not choose a
clinical or causal rule on the reviewer’s behalf.
```