Zelthy Compliance — HCP Interaction Monitoring

Events monitoring

Live compliance posture across the event lifecycle — Novapharm US, August 2026.

Event pipeline — active

0 events

Approved · upcoming

4

Pre-checks

1

Evidence review

3

Invoice processing

3

Awaiting close

2

Closed (Aug)

6

Open cases

0 2 critical

2 critical · 4 high · 2 med/low

Spend held pre-SAP

$12,940

3 invoices held · oldest 4 days

ToV posted — Aug MTD

$38,420

142 HCP ledger entries

Avg cost / head

$104vs $125 cap

83% of federal meal cap · 0 breaches MTD

Cases raised by lifecycle stage — 30 days312 total · 88% resolved

Invoice checks

118

Pre-event

84

At-event evidence

71

Portfolio signals

39

Top check: 3.1 itemization (41) · 3.3 cost/head (28) · 2.3 headcount (24)

ToV posted by category — MTD

Travel$15,750

Lodging$9,220

Meals$8,450

Honoraria$5,000

Held (excl.)$10,812

Needs attention

CardioCare Speaker Dinner — Boston

3 open cases · headcount, alcohol %, hotel nights · $9,090 held

Critical

Neurology Advisory Board — Chicago

Approval gated — advisor OIG match under NPI verification

Gated

Endocrine Lunch & Learn — New York

Lump-sum invoice bounced · vendor resubmission expected 48h

Invoice

Cardexa Virtual Program — on-platform

Off-label flag at 41:20 in Q&A · Med-Legal review · honorarium held

Transcript

CardioSummit Delegates — New Orleans

Financial close blocked · registration invoice 31 days outstanding

Close

AI agent activityLive

9:04 AM

Evidence Verification flagged headcount 11 vs 14 on EVT-0412 — meal ToV held for 3 attendees

8:56 AM

Invoice Digitization classified INV-88231 (3 lines, overhead) — pushed to SAP

8:41 AM

Vendor Correspondence bounced lump-sum invoice on EVT-0407 with itemization guidance

Aug 6

Transcript Monitor flagged possible off-label response in EVT-0405 Q&A (0.87) — clip to Med-Legal, honorarium held

7:15 AM

Fraud & Forensics matched duplicate invoice fingerprint across 2 events — case opened

Mon

Portfolio Signals added Dr. R. Simmons to speaker over-utilization watch (9 events YTD)

Platform health Veeva Network · 2h SAP · 6h Exclusion feeds · 1 stale Vault · not connected 41/49 checks live

Integrations

Source-system connections. HCP master and ERP are mandatory for go-live; everything else raises check coverage.

HCP Master

Golden records synced from Veeva Network · 48,120 records · nightly exclusion screening.

HCP	Network · NPI	Specialty	Tier	YTD ToV	Screening
Dr. Emily Hartman Boston, MA	VN-88213 · 1841236790	Cardiology	Tier 1	$11,200	Clear
Dr. Mark Reynolds Boston, MA	VN-40917 · 1932406718	Cardiology	Tier 2	$2,340	Clear
Dr. Sarah Whitfield Boston, MA	VN-11284 · 1780654321	Endocrinology	Tier 2	$4,112	Re-screen due
Dr. Maria Gonzalez Houston, TX	VN-73391 · 1557802341	Oncology	Tier 1	$9,860	Clear
Dr. James Okafor Chicago, IL	VN-55870 · 1447893210	Neurology	Tier 1	$11,860	OIG match — review
Dr. Lisa Park Cambridge, MA	VN-62115 · 1447589022	Cardiology	Tier 2	$1,890	Clear
Dr. Daniel Cohen Brookline, MA	VN-63008 · 1568893401	Cardiology	Tier 2	$3,410	Clear
Dr. Alan Chen San Diego, CA	VN-58441 · 1609347215	Endocrinology	Tier 1	$5,400	Clear
Dr. Nina Rossi Philadelphia, PA	VN-60227 · 1811456930	Immunology	Tier 1	$7,200	Clear
Dr. Steven Ward Atlanta, GA	VN-59873 · 1734590218	Cardiology	Tier 2	$4,470	Clear
Dr. Anita Krishnan Nashville, TN	VN-61540 · 1846723905	Cardiology	Tier 2	$3,910	Re-screen due

Vendor Master

Event-relevant vendors synced from SAP with due-diligence status and behavior scores.

Vendor	SAP ID	Category	Due diligence	Score	Invoices · 12mo
Westin Copley Catering Boston, MA	V-204871	Venue / F&B	Current	94	38
Premier AV Solutions Boston, MA	V-118902	AV / Production	Current	88	61
Corporate Travel Partners New York, NY	V-309112	Travel	Expires in 21d	71	24
Bayou Events LLC New Orleans, LA	—	Event agency	Not started	52	9
Marriott Marquis Houston F&B Houston, TX	V-221450	Venue / F&B	Current	91	27
Gotham Catering Co New York, NY	V-334019	F&B	Current	61	14
CardioSummit Secretariat Washington, DC	V-287334	Congress / registrations	Current	78	3
Boston Coach & Livery Boston, MA	V-198265	Ground transport	Current	85	19
Hyatt Regency Denver Denver, CO	V-256780	Venue / F&B	Current	89	11

Venue Master

Approved, review-listed, and blacklisted venues with aliases — the reference for venue-appropriateness checks.

Venue	Status	Class	Avg cost / head	Events YTD
The Westin Copley Place — Salon B Boston, MA · 2 aliases	Approved	4★	$142	31
Pebble Beach Golf Resort Pebble Beach, CA	Blacklisted — golf resort	—	—	0
Marriott Marquis Houston Houston, TX · 1 alias	Approved	4★	$96	18
Ocean Reef Resort & Spa Key Largo, FL	Review — resort keyword	5★	$310	2
The Capital Grille — Private Dining Philadelphia, PA	Approved	Restaurant	$118	14
San Diego Convention Center San Diego, CA · 3 aliases	Approved	CC	$88	9
Ernest N. Morial Convention Center New Orleans, LA	Approved	CC	—	4
Hyatt Regency Denver Denver, CO	Approved	4★	$92	7
Topgolf — Midtown Atlanta, GA	Blacklisted — entertainment	—	—	0
Mount Sinai — Conference Rooms New York, NY (in-office)	Approved — HCP office	Office	$74	22

Compliance Policies

Versioned, effective-dated policy sets. Federal baseline plus state overlays — the strictest applicable rule wins.

US — Federal Active

PhRMA Code + Open Payments

Meal cap$125 / head

Alcohol≤20% of F&B

Travel classEconomy <5h

v6 · eff. Jan 1, 2026

Massachusetts Active

105 CMR 970 overlay

Meal ruleModest, in-office/hospital

State reportingAnnual disclosure

EntertainmentProhibited

v3 · eff. Jan 1, 2026

Vermont Strictest — review

18 V.S.A. § 4631a overlay

Meals to HCPsProhibited

GiftsBanned (narrow exceptions)

State reportingAnnual, itemized

v2 · eff. Jan 1, 2026

Exclusion Lists

Debarment and exclusion feeds screened nightly against HCPs, speakers, and vendors.

OIG LEIE

HHS List of Excluded Individuals & Entities · 79,441 records

Refreshed 6h ago

SAM.gov

Federal exclusions & debarments · 112,380 records

Refreshed 6h ago

FDA Debarment List

FD&C Act debarred individuals · 214 records

Refreshed 1d ago

State Medicaid exclusion lists (aggregated)

43 states · 96,120 records · 7 states pending August refresh

Stale — 9d

Active matches under review

1 HCP (Dr. James Okafor — OIG, NPI mismatch suspected) · 0 vendors

Invoice Inbox

Vendors submit to invoices+evt-####@novapharm.zelthy.com — every arrival is digitized, classified, and checked before it can reach SAP.

Held pre-SAP

$12,940

3 invoices · blocked by open cases

Awaiting vendor

2

1 bounced · 1 expected, 31d overdue

Digitizing now

1

avg intake → coded: 41 min

Cleared — Aug MTD

24

$86,300 pushed · 0 manual entries

Cases

Every failed check lands here with evidence, owner, and SLA — dispositions feed the audit trail.

Open

82 critical

4 high · 2 med/low

SLA at risk

2

open > 3 days

Resolved — 30d

275

of 312 raised · 88%

Avg resolution

1.8d

critical: 0.6d

ToV Ledger

Per-HCP, per-category transfer-of-value ledger — the clean feed into Open Payments and state disclosure filings.

Posted — Aug MTD

$38,420

142 ledger entries

Posted — CY2026

$412,080

across 1,841 entries · 486 HCPs

Held (excluded)

$10,812

pending case disposition

Next disclosure

Open Payments

CY2026 · due Mar 31, 2027

HCO Master

Institutions and affiliations from Veeva Network — government-ownership flags drive FCPA-sensitive checks.

Organization	Type	Ownership	Affiliated HCPs	Events YTD	Status
Mass General Brigham Boston, MA	Health system	Private non-profit	1,240	22	Active
Mount Sinai Health System New York, NY	Health system	Private non-profit	980	31	Active
MD Anderson Cancer Center Houston, TX	Academic center	State (UT System)	410	9	Active
VA Boston Healthcare System Boston, MA	Hospital	Federal — VA	160	0	Gov-employee rules
Cleveland Clinic Cleveland, OH	Health system	Private non-profit	720	12	Active
Northwestern Memorial Chicago, IL	Hospital	Private non-profit	530	14	Active
Emory Healthcare Atlanta, GA	Health system	Private non-profit	460	8	Active
UC San Diego Health San Diego, CA	Academic center	State (UC System)	390	6	Active
HCA Healthcare — TriStar Nashville, TN	Hospital group	For-profit	340	5	Active

Speaker Master

Contracted speakers with FMV tier, training status, YTD spend against annual caps, and utilization signals.

Speaker	FMV tier	Session rate	YTD vs annual cap	Training	Signals
Dr. Emily Hartman Cardiology · Boston, MA	Tier 1	$2,800	$8,400 / $30,000	Mar 2027	—
Dr. Alan Chen Endocrinology · San Diego, CA	Tier 1	$1,800	$5,400 / $24,000	Jan 2027	—
Dr. Nina Rossi Immunology · Philadelphia, PA	Tier 1	$2,400	$7,200 / $28,000	Nov 2026	—
Dr. Robert Simmons Cardiology · Miami, FL	Tier 1	$3,000	$27,000 / $30,000	Jun 2027	Over-utilization — 9 events YTD
Dr. Maria Gonzalez Oncology · Houston, TX	Tier 1	$2,600	$10,400 / $30,000	Apr 2027	—
Dr. Kevin Walsh Neurology · Chicago, IL	Tier 2	$1,600	$3,200 / $20,000	Expired Jul 2026	Blocked until retrained
Dr. Susan Lee Pulmonology · Denver, CO	Tier 2	$1,500	$4,500 / $20,000	Feb 2027	—
Dr. Ahmed Farouk Rare Disease · New York, NY	Tier 1	$3,200	$12,800 / $32,000	May 2027	—

Users & Teams

Reps, organizers, approvers, and reviewers via SSO — authority levels drive approval routing.

User	Role	Team	Approval authority	Last active	Status
Rachel Torres rtorres@novapharm.com	Organizer	Cardio Field — Northeast	$15,000	Today	Active
Amanda Whitman awhitman@novapharm.com	Compliance	US Compliance Ops	Case disposition	Today	Active
Tyler Brooks tbrooks@novapharm.com	Compliance	US Compliance Ops	Case disposition	Today	Active
Priya Shah pshah@novapharm.com	Finance	Commercial Finance	SAP release	Yesterday	Active
Carlos Vega cvega@novapharm.com	Organizer	Onco Field — South	$15,000	2d ago	Active
Megan Foster mfoster@novapharm.com	Organizer	Metabolic — West	$15,000	Today	Active
David Ross dross@novapharm.com	Med Affairs	Neuro Medical — US	$40,000	Today	Active
Kevin O'Brien kobrien@novapharm.com	Rep	Metabolic — Northeast	$2,500	Today	Active
Laura Jennings ljennings@novapharm.com	Admin	Compliance Systems	Tenant config	3d ago	Active

FMV Rate Cards

Specialty × tier honoraria ranges from the client's 2026 FMV study — engagements outside range are auto-flagged (1.5).

Specialty	Tier	Session (1–2h)	Hourly	Prep cap / event	Version
Cardiology	Tier 1 — KOL	$2,400 – $3,200	$450	$900	v2026.1
Cardiology	Tier 2	$1,400 – $2,000	$310	$620	v2026.1
Oncology	Tier 1 — KOL	$2,600 – $3,400	$480	$960	v2026.1
Oncology	Tier 2	$1,500 – $2,100	$330	$660	v2026.1
Endocrinology	Tier 1 — KOL	$1,800 – $2,600	$390	$780	v2026.1
Immunology	Tier 1 — KOL	$2,200 – $3,000	$430	$860	v2026.1
Neurology	Tier 2	$1,400 – $1,900	$300	$600	v2026.1
Rare Disease	Tier 1 — KOL	$2,800 – $3,600	$520	$1,040	v2026.1
Pulmonology	Tier 2	$1,300 – $1,800	$290	$580	v2026.1

Item Classification

The taxonomy the Invoice Digitization Agent classifies every line against — determines ToV attribution, overhead, or auto-case.

Line-item pattern	Classification	Treatment	Matches 30d	Status
Food / dinner / catering service	ToV — meals	Split per verified attendee · $125 federal cap check	412	Live
Alcohol / wine / bar package	ToV — meals · alcohol	Included in meal split · ≤20% of F&B policy check (3.4)	96	Live
Guest room / lodging / folio	ToV — lodging	Attributed to named guest · nights vs event duration (3.12)	148	Live
Airfare / rail / sedan / transfer	ToV — travel	Attributed to traveler · class-of-travel policy check	231	Live
Registration / delegate fee	ToV — registration	Attributed per delegate	64	Live
AV / projector / production / technician	Overhead — AV	Not HCP-attributed · event cost only	187	Live
Room rental / venue fee / service charge	Overhead — venue	Not HCP-attributed · event cost only	203	Live
Internal staff meals / rep expenses	Internal	Excluded from ToV · routed to T&E policy	57	Live
Gift / merchandise / branded item	Prohibited	Auto-case · invoice held · compliance disposition required	3	Live
Spouse / guest / companion costs	Prohibited	Auto-case · invoice held · compliance disposition required	1	Live

Jurisdiction Rules

Disclosure regimes and state overlays. Event location + attendee license states determine which rules stack.

Jurisdiction	Regime	Key rules	Reporting	Status
US — Federal	Open Payments (Sunshine Act)	All ToV to covered recipients · $10.79 de minimis (2026) · teaching hospitals included	Annual · Mar 31	Active
Massachusetts	105 CMR 970	Meals modest & in-office/hospital · entertainment prohibited · CE rules	Annual · Jul 1	Active
Vermont	18 V.S.A. § 4631a	Gifts banned incl. most meals · narrow exceptions · itemized disclosure	Annual · Apr 1	Strictest
Minnesota	Minn. Stat. § 151.461	$50 annual gift limit per practitioner · board reporting	Annual	Active
California	SB 1765 compliance program	Requires annual aggregate cap per HCP in comp program · declaration posted	Public declaration	Active
Nevada	NRS 639.570	Marketing code of conduct adoption · annual attestation	Annual	Active
Connecticut	APRN disclosure	ToV to APRNs reportable at state level beyond federal	Annual	Active
Washington, DC	AccessRx	Gift & expense reporting for detailing to DC-licensed prescribers	Annual · Jul 1	Active

Finance Mapping

Cost centers, GL accounts, and tax treatment per spend category — makes every cleared invoice SAP-ready without AP touch.

Spend category	Cost center	GL account	Tax treatment	Budget line	Status
HCP meals (events)	CC-4410	GL-612200	Non-deductible portion tracked	Field events — Cardio	Mapped
HCP travel & lodging	CC-4410	GL-612400	Standard	Field events — Cardio	Mapped
Speaker honoraria	CC-4425	GL-627100	1099-NEC · withholding rules	Speaker bureau	Mapped
Venue / room rental	CC-4410	GL-618300	Standard	Field events — shared	Mapped
AV & production	CC-4410	GL-618400	Standard	Field events — shared	Mapped
Congress sponsorships	CC-4460	GL-629500	Standard	Medical affairs	Mapped
Advisory board fees	CC-4470	GL-627200	1099-NEC	Medical affairs	Mapped
Virtual event platforms	CC-4410	GL-618900	Standard	Field events — shared	New — verify

Approved Content

MLR-cleared decks with version hashes — the reference for the deck-match check (2.6) on speaker photos and recordings.

Material	Product	Version	MLR code	Expiry	Status
Outcomes in Heart Failure — speaker deck hash 8f3a…c21e	Cardexa	v4.2	MLR-2026-0841	Feb 2027	Approved
Oncology RTM — agenda & slides hash 2b71…9d04	Onquira	v3.1	MLR-2026-0712	Dec 2026	Approved
Diabetes Management CME module hash e4c9…1a88	Glucerol	v2.0	MLR-2026-0903	Mar 2027	Approved
Immunology speaker deck hash 77aa…f3b2	Imravel	v1.4	MLR-2026-0768	Oct 2026	Expiring — 8 wks
Vaccines clinical update webinar hash 91cd…04e7	Vaxora	v1.1	MLR-2026-0955	Jan 2027	Approved
Rare disease AB pre-read hash 5f02…bb31	Zylterra	v2.3	MLR-2026-0699	Nov 2026	Approved
Cardexa leave-behind (print) hash c8d4…72aa	Cardexa	v6.0	MLR-2025-1120	Jul 2026	Expired — pull
Pulmonology RTM slides hash 3e19…d508	Respivar	v2.2	MLR-2026-0810	Feb 2027	Approved

Event Types

Each type maps to its check profile, required evidence set, and cap profile — the configuration behind the monitoring engine.

Event type	Checks in profile	Required evidence	Cap profile	YTD	Status
Speaker Program	26	Venue · audience · speaker · F&B · headshots · sign-in	$125 meal · FMV · annual caps	64	Live
Round Table (RTM)	24	Room · audience · agenda · F&B	$125 meal cap	112	Live
Lunch & Learn (in-office)	21	Room · audience · F&B	$125 meal · MA in-office rule	148	Live
Advisory Board	28	Attendance · contracts · minutes · deliverables	FMV fees · needs justification	14	Live
Congress Sponsorship	22	Agreement · selection justification · itineraries	Economy travel · std rooms	9	Live
CME Support	19	Grant letter · provider accreditation · agenda	Arms-length — no content control	11	Live
Webinar (virtual)	15	Recording · attendance log · platform report	FMV · no meal component	37	Live
Standalone HCP meal	14	Receipt · attendee confirmation · geo	$125 · frequency limits	203	Pilot

Audit Log

Immutable, append-only trail of every record change, check run, and disposition — exportable for inspections.

Time	Actor	Action	Object	Detail
Aug 14, 2:31 PM	Invoice Agent	Invoice ingested	INV-90177	Via invoices+evt-0412@ · OCR complete · classification started
Aug 14, 10:02 AM	Rule engine	Check 3.12 failed	INV-88246	2 nights vs 1-night event → CASE-1207 opened · invoice held
Aug 14, 7:15 AM	Fraud Agent	Duplicate fingerprint	INV-90205	0.93 similarity vs INV-88231 → CASE-1219 · held pre-SAP
Aug 13, 4:20 PM	P. Shah	SAP release	INV-88231	Coded CC-4410 / GL-618400 · pushed to SAP AP
Aug 13, 11:20 AM	System	Case assigned	CASE-1204	Routed to A. Whitman per severity matrix (Critical → Compliance)
Aug 13, 9:04 AM	Evidence Agent	Check 2.3 failed	EVT-2026-0412	AI headcount 11 vs 14 logged → CASE-1204 · ToV held ×3
Aug 12, 8:03 PM	R. Torres	Attendance closed	EVT-2026-0412	14 QR check-ins · walk-in flagged (not in HCP master)
Aug 9, 10:12 AM	Vendor Agent	Invoice bounced	INV-90112	Lump sum · itemization template sent to Gotham Catering
Aug 6, 7:44 PM	Transcript Monitor	Check 2.7 flagged	EVT-2026-0405	Off-label mention in Q&A (0.87) → CASE-1221 · honorarium held · clip extracted
Aug 4, 3:44 PM	L. Jennings	Policy version live	US Federal v6	Meal cap $120 → $125 · effective retro Jan 1, 2026
Aug 1, 7:01 AM	Rule engine	Approval gated	EVT-2026-0431	Check 1.8 — advisor OIG LEIE match → CASE-1211

Settings

Tenant configuration — enforcement posture, intake, notifications, and retention.

Tenant

OrganizationNovapharm US

EnvironmentUAT

Region / residencyus-east-1

SSOOkta · SAML 2.0

Enforcement posture

ModeB — Native approvals

Critical checksGate (block)

High / MedHold funds + case

LowAdvisory

Posture A (advisory alongside Veeva EM approvals) available per affiliate.

Invoice intake

Domaininvoices+*@novapharm.zelthy.com

DKIM / SPFVerified

Accepted formatsPDF, images, e-invoice XML

Bounce templates4 active

Notifications

Critical casesSlack #compliance-alerts + email

SLA breachesDaily digest, 8 AM ET

Vendor bouncesOrganizer cc'd

Sign-off policy

Event closeOrganizer + Compliance

Open casesBlock sign-off

Honoraria releaseDeliverable + no open cases

Data & retention

Audit logWORM · 7 years

Evidence photos7 years · EXIF preserved

ExportsCSV, PDF, API

Portfolio Signals

Cross-event pattern detection — the layer no spot audit can see. Trends, anomalies, and behavioral signals across all 312 monitored events.

Active signals

6 2 high

signals raised · trailing 8 weeks

Events analyzed

312

rolling 90 days · 100% coverage

Anomaly rate

4.1%

↓ from 6.8% at go-live

Detectors live

8 / 10

checks 4.1 – 4.10

Cost per head — portfolio trendUnder cap 6 mo

Alcohol % of F&B by team — Aug1 team over policy

Cardio — Northeast

26%

Onco — South

14%

Metabolic — West

11%

Cardio — National

9%

Policy limit 20% — Northeast driven by EVT-0412 catering invoice

Signal queue Portfolio Signals Agent · nightly + streaming

Events

Every HCP event across the lifecycle — approval, pre-checks, evidence, invoices, and close-out.

Checks & Rules

The complete check library across the event lifecycle. Deterministic rules enforce known limits; AI agents read unstructured evidence. Every failed check creates a case.

Total checks

49

41 live · 8 pending config

Rules engine

30

Deterministic · instant · explainable

AI agents

19

15 AI + 4 hybrid · 5 agents

Cases 30d

312

88% auto-resolved or confirmed