An LLM judge evaluates outputs at scale. Experts should label only where it is least sure. Its natural escalation signal conflates two uncertainties: aleatoric, real disagreement in the expert pool, which labels cannot reduce, and epistemic, the judge's ignorance, which labels do reduce. A small Bayesian model separates them: a regression on labels already collected learns how far to trust a black-box judge's prediction. Both components follow as simple formulas, with no sampling or further judge calls. The components isolate on a real LLM judge against exactly known truth, and stated confidence is no guide to its actual error. On real human disagreement (ChaosNLI) the epistemic ranking removes 83% more error than total uncertainty for the same expert labels, though simply escalating the least-labelled items does as well there. We demonstrate we can estimate where a judge is ignorant rather than where experts genuinely disagree, and propose using this to direct expert labelling. Code and data are available at https://github.com/composo-ai/ judge-uncertainty-decomposition.
Audited three commercial AI scribes on the same 142 consultations: 565 notes from recorded UK primary-care and US ambulatory encounters plus authored scenarios, with one failure mode drawn from published scribe-error taxonomies.
Sebastian Fox, L. Markham, Ryan Lail et al.· 0 citations
It is asked whether judges detect omissions in clinical notes, and two methods reach it independently and trade off: a per-fact pipeline, and a GEPA-evolved prompt doing the same in one call.
Sebastian Fox, L. Markham, Ryan Lail et al.· 0 citations
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