WOLF AI field guide

FCA damages workup support.

FCA damages workup support organizes candidate claims, payments, dates, assumptions, and source records into reviewable inputs. It does not independently determine legally recoverable damages.

Published · Last reviewed

Written and maintained by the WOLF AI product team and checked against the public sources cited on this page. It has not been reviewed by outside counsel, and it is not legal advice.

What do the numbers say?

15–30%Statutory relator share, 31 U.S.C. § 3730(d)

Under 31 U.S.C. § 3730(d), a relator receives at least 15 percent but not more than 25 percent of the proceeds when the government intervenes, and not less than 25 percent and not more than 30 percent when it declines and the relator proceeds alone. The Department of Justice describes the typical range as 15 to 30 percent.

Source: 31 U.S.C. § 3730: Civil actions for false claims

$6.8 billionFCA settlements and judgments, FY2025

According to the Department of Justice, False Claims Act settlements and judgments exceeded $6.8 billion in the fiscal year ending September 30, 2025 — the highest single-year total in the history of the statute. Settlements and judgments since the 1986 amendments now exceed $85 billion.

Source: DOJ: False Claims Act settlements and judgments exceed $6.8B in fiscal year 2025

$5.7 billionHealth care share of FY2025 recoveries

Of the more than $6.8 billion in False Claims Act settlements and judgments the Department of Justice reported for fiscal year 2025, over $5.7 billion related to matters involving the health care industry, restoring funds to programs including Medicare, Medicaid, and TRICARE.

Source: DOJ: False Claims Act settlements and judgments exceed $6.8B in fiscal year 2025

Who is this workflow for?

Counsel and the financial experts they work with, at the point where the question shifts from "what happened" to "how large is this, and on what assumptions".

When it is the wrong tool. It does not produce a damages number to rely on, and it does not compute statutory penalties or treble damages. Those depend on legal determinations and current law for the specific matter.

What documents and inputs do you need?

  • The population counsel wants evaluated: claim lines, payments, providers, or transactions.
  • The period, and any exclusions counsel has already decided on.
  • The stated assumptions — what is being treated as tainted, and why.
  • Source records supporting each transaction in the population.

How does the workflow actually run?

  1. 1.Identify the population and time period counsel wants to evaluate.
  2. 2.Connect candidate transactions to source records and stated assumptions.
  3. 3.Track exclusions, duplicates, uncertainties, and missing data.
  4. 4.Have counsel and appropriate financial experts validate the methodology and figures.

What does this look like in practice?

Illustrative scenario

Illustrative only. A candidate population of claim lines across two years.

  1. Every line carries its source document and page, so an expert can trace any figure back to a record.
  2. Duplicates and reversals are separated out rather than netted silently.
  3. Lines with missing supporting documentation are held in their own bucket, sized, and reported as an uncertainty rather than dropped.
  4. The assumption set is written down next to the population, so a later change to an assumption shows exactly which lines it moves.

What this does not show. The output is an input to an expert analysis. Nothing here decides what is legally recoverable.

What do you get out, and who reviews it?

  • A traceable candidate population with per-line source links.
  • Explicit buckets for exclusions, duplicates, and undocumented lines.
  • A written assumption set attached to the workup.
  • Counsel and qualified financial experts own the methodology, the figures, and any statement of damages.

Where does this approach break down?

  • The product does not promise an automated or legally dispositive damages number.
  • Statutory remedies and penalties must be researched for the specific matter and current law.
  • Incomplete or inconsistent source data can materially change a workup.
  • A population built from an incomplete document collection understates and overstates in ways the software cannot detect.

Common questions

Does WOLF AI calculate treble damages or per-claim penalties?

No. Those follow from legal determinations and current statutory amounts, which counsel researches for the specific matter.

What happens to lines with no supporting document?

They are kept in a separate, sized bucket and reported as an uncertainty. They are not dropped, and they are not counted as supported.

Can the workup be handed to an expert?

That is its purpose. It is structured as reviewable input — population, assumptions, exclusions, and source links — for a qualified expert to validate or replace.

Where do these facts come from?