Step 2 · measurement-grade residual run (synthetic · doula care shaped)

Residual ops · timed last-mile

After coverage decision → credentialing context → portal fields → documentation → evidence → human gate → confirm. Timers record practice measurements. Not a live payer or MCO system.

From event

Event: —
Program: —
Doula: —
Client: —
MCO / Plan: —
Baseline (plan): 14-22 min

1 Context 2 Credentialing 3 Coverage 4 Documentation 5 Verify 6 Human gate

Run timer: 0.0s · Step: 0.0s · context

1 · Event context (coverage decision already complete)

No clinical re-determination. Confirm residual still required on the operational side.

Credentialing / portal reference NPI or provider ID (synthetic)

2 · Credentialing residual fields

Certification / training codes

Training packet status

3 · Coverage confirmation residual

Coverage / enrollment status notes

4 · Visit & outcomes documentation

Visit / encounter documentation residual Outcomes / SDOH reporting residual

5 · Verification & quality

Residual value is accuracy, consistency, verification, and documentation — not only minutes.

Optical verification (inputs / outputs confirmed on screen) Telephony / voice coordination (if used) Evidence / packet / dossier notes Execution quality (accuracy, consistency, completeness)

6 · Human gate (irreversible)

I approve irreversible residual actions (credentialing portal submit + coverage-related documentation) for this synthetic case. Without this check, submit is rejected — same discipline as production.

← Event