Sealed First for Teams

Prove your human review is real.

If people review your AI's recommendations, a pilot shows whether they form their own judgment first, or mostly agree with the machine. You get an evidence report you can put in the audit file.

The problem with "a human reviews every case."

Rules and policies increasingly expect effective human oversight of AI, and they name automation bias as the risk to guard against. But a review step can look fine on paper while reviewers approve whatever the AI suggests. Nothing in a normal audit trail tells the two apart.

The sealed step tells them apart. Before the AI's recommendation is shown, the reviewer records their own call. Then it's revealed, and they submit a final decision with a reason for any change.

Later, QA records the correct decision from appeals, audits, or chart review. Reviewers never grade their own work.

What you get

An oversight evidence report.

Sample · example numbers · prior authorization review · 64 reviews, 5 reviewers
81%Matched the AI before seeing itHigh is fine when cases are easy.
58%Switched to the AI after disagreeing12 disagreements. The anchoring signal.
9%Final decision overrode the AIHow often the human check changed the outcome.
2 / 4Switches that helped / hurtFrom 22 outcome checks.

The full report adds attestation and documentation rates, accuracy of the sealed call, the AI and the final decision, a per-reviewer table framed for coaching, the limits of the evidence, and a recommendation. Raw evidence exports as a CSV.

How a pilot runs

One workflow, one quarter.

Scope
One decision where people review an AI recommendation: prior authorization, claims, coding, contract review, triage, analysis.
Setup
Your review tool hides the AI's recommendation until the reviewer records a first call. Without that, the seal records intent, not independence, and the report says so.
Reviewers
Each reviewer sees only their own record. Pilot leads see everything and enter outcomes.
Data
Case reference numbers only. No names, dates of birth, member or record numbers. The pilot records decisions about the AI, not the case itself.
Sample
20 reviews for a first reading, 10 outcome checks before any conclusion about switching.
Exit
The evidence report, the CSV for your audit file, and a recommendation: keep the review step, change how it works, or redesign it.

Design-partner pilots are open.

The first pilots are free in exchange for feedback. Send a short note with the workflow you'd test, roughly how many reviews a week, and who would enter outcomes.

Contact

drplummer@gmail.com

Pilots are run by someone independent of the workflow being assessed.