Screen 05[REAL]SYNTHETIC
Review & disposition
is what confers authority.
Story · one decision, end to endHealthcare Prior-Auth · PA-8843— Necessary care auto-denied over physician's high-risk annotation
Screen anatomy
Candidate
Prior-auth PA-8843 auto-denied despite high-risk note
Healthcare Prior-Auth · evidence E4
Captured
AUTO-DENIED
criteria_bundle_v2 missed 'high_risk_note=true'
Expected
Approve or route to clinician review when high_risk_note is set.
[REAL]bridge eligibility fail-closedeligible for proof
Reviewer disposition