Indication Fit
How closely the proposed intervention matches the condition being treated and the seriousness of the evidence base for that indication.
The index is deliberately skeptical. It does not reward optimism. It rewards traceability, evidence fit, procedural logic, and the absence of documented fraud signals.

How closely the proposed intervention matches the condition being treated and the seriousness of the evidence base for that indication.
Whether the provider can point to peer-reviewed human data for this product type and this condition, rather than generic mechanism claims.
Whether the product is specifically named, documentable, and traceable to a manufacturer, release criteria, and lot-level paperwork.
Whether processing, QC, and release look like a real manufacturing system instead of a black box with good branding.
Whether donor screening, sterility, endotoxin, and handling controls are knowable rather than assumed.
Whether the clinician has the procedural logic, image guidance, and safety infrastructure appropriate to the offer being made.
Whether the provider defines baseline, follow-up, and success in measurable terms instead of testimonial language.
How much practical recourse remains if the treatment occurs across a border or outside standard malpractice pathways.
Whether the offer is framed with documented uncertainty or inflated through urgency, guarantees, and payment-before-docs pressure.
Proceed with Confidence means the offer is documented enough to keep moving with your eyes open. Significant Gaps Identified means there are specific items to resolve before money moves. Stop. Read the Breakdown. means the offer currently contains too many hard signals or missing systems to treat as safe enough for payment.
The breakdown exists to make the next conversation sharper: what to request, what to verify independently, and what to walk away from if the answer never arrives.