Rule Governance Lifecycle
Every payer rule moves through an explicit, human-controlled lifecycle. Approved rules are never modified by any automated or AI process.
No LLM or outcome-learning process may modify an Approved rule. Every lifecycle transition requires an explicit human actor.
Lifecycle
DraftDomain ReviewApprovedEffectiveRetired
RPP Medical-Necessity Readiness (illustrative governed rule)
DEMO-RPP-001 · v0.1-draft · Synthetic demonstration content — not CMS
- Payer
- Original Medicare — Demonstration Context
- Jurisdiction
- Novitas — Jurisdiction H (Texas)
- Author
- Devon Park (System Administrator)
- Domain reviewer
- To Be Confirmed
- Approver
- To Be Confirmed
- Approved at
- —
Switch to Reviewer or Administrator to transition. Available: Domain Review, Retired