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40ClaimRight / Compliance
Prescribing rules by state
10 sample rulesCounsel to confirmUnlisted states default to review-first
- Ten sample rules. Some states let a clinician review an intake first (MI, TX, FL, CO); others require a live visit before any prescription (CA, NY, MS, AK, HI, LA).
- States not listed default to review-first with no pharmacy named.
- These are sample rules. Counsel confirms each state before launch.
Review-first or live visit, set state by state before a case moves.
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Visit before prescribe
Visit ahead of the decisionBoth clinical setupsThe block is planned
- The care flow puts the visit ahead of the decision in both clinical setups.
- The visit and the prescriber belong to the clinical setup, not to LastStop.
- Not built yet: blocking the decision until the visit is complete, state by state. It waits on counsel's state list.
Intake, visit where required, decision, pharmacy. In that order.
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Clinician licence check
"No license on roster for this clinician in CA"Location reconfirmedSample roster
- The sample clinician is licensed in Michigan; the case is in California, so the decision is refused.
- Before any approval, the patient's physical location is reconfirmed with a matching two-letter state code.
- Decline and request more information stay available; approval waits for a clinician licensed in that state.
- A working gate on a sample roster until real credentialing is connected.
A clinician not licensed in the patient's state can't approve the case.
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AI drafts, a person decides
One Approve buttonDrafts appear for reviewEvery approval logged
- AtlasTx offers "Draft follow-ups"; the card reads "AI drafts, a person decides" with one Approve button.
- After approval the drafts appear for review. Nothing is sent.
- "What got done" lists each approved action, and each one goes to the audit log.
Nothing the AI drafts runs until a person approves it.
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The audit log
Time, actor, module, action, resultClaimRight approvals includedServer ledger built
- The two ClaimRight rewrites approved in this session and a support ticket closed by the sample clinician, each with time, actor, module, action and result.
- In the demo the log is kept in the browser session. A tamper-evident server ledger is built in the engine.
What happened, who did it, and what came of it.
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Blind Atlas, from the fire card
Code in, name on screenSafe Harbor identifiers removedCounsel review pending
- Clicking the code on the fire card resolves it to "Sample Patient 08 · Recovery & Vitality Stack · CO · open", on this screen only.
- Atlas received the code, the status and the elapsed time. Nothing else.
- The HIPAA basis: random codes (45 CFR 164.514(c)), the Safe Harbor identifiers removed (164.514(b)(2)), relative times only, no free text.
- Privacy counsel review of the design is pending.
The report behind S-C859 resolves on your screen, and only there.
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