Case evidence first
Case-specific records should inform material case facts; general knowledge is not a substitute.
The value of an AI-assisted review is the ability to test a proposal against the original record and preserve the human decision.
Each stage has a different responsibility. The original documents remain the reference.
A fluent answer can still be wrong. These rules keep the review focused on what the case record supports and what a professional has checked.
Case-specific records should inform material case facts; general knowledge is not a substitute.
A reviewer should be able to open the original page behind an important statement.
An unsupported or ambiguous point should remain a question, not become a polished assertion.
No autonomous medical diagnosis, legal conclusion, or causation finding.
If the received record set does not support a question, the workflow should say so and make the gap visible for follow-up.
The received packet does not establish all care during that period. Check provider inventory and request status before drawing a conclusion.
Fictional example. No autonomous diagnosis or legal conclusion.We can show the path from proposed case fact to source page and reviewer decision.