What human approval looks like in practice

Every BIIcare action carries a level. Reading a record, drafting a message, suggesting a match — those happen on their own, because they change nothing and tell no one. Sending a message or changing a record is different: it waits, visibly, for a named human.

In practice that gate looks like a card, not a buried setting. Before anything goes out, the coordinator sees the draft, who it goes to, what evidence it's based on, and what happens next. Approve, edit, or hold — all three are one tap, and all three are logged.

Why so strict? Because the messages BIIcare prepares land in real lives: a family waiting on news, a facility deciding whether to hold a bed. A fast mistake there costs more than a slow approval ever will.

And some things never reach the gate at all. Eligibility determinations, PASRR decisions, clinical judgments — those are level five, prohibited. They belong to people and state authorities, and no future version of the platform will change that.