Step 1 · upstream decision assumed complete

Handoff · what residual remains

Generic upstream finished (any decision layer). Fill what the operator still owes the payer side. Overlay can read these fields via DOM tools / voice.

Case export (operator-visible)

Case / member id

Payer / portal family

Upstream decision outcome Baseline residual minutes (plan / synthetic) Residual still on operator

No re-decision of medical necessity on this desk. Only residual work after the decision.