Record whether a specialist referral is in the file, and its date
Key facts
- Human involvement
- YellowClose supervision
- How AI is used
- Record whether the file contains a referral, its date, and the names it uses. Do not say the later attendance may be billed.
- What the lawyer must review
- You decide billing. No specialist-referral billing rule was opened. A referral in the file is not a finding that an item is payable, and a missing referral is not a finding that it is not. Model Rule 1.4(b) is the explanation to the practitioner. 45 CFR § 164.502 limits use of the referral if it contains protected health information. Formal Opinion 512 applies before the file is put into a tool to answer the billing question.
- Written for / version
- United States versionUS
Who does what
| Role | What they do |
|---|---|
| Assistance | Do not begin AI assistance until the responsible lawyer has defined and confirmed its permitted scope. |
| Lawyer | Set the scope, supervise the work closely, verify every part relied on, resolve omissions and exceptions, and approve the exact output. |
Checklist
- Check the specialist’s assumptions, qualifications and limits. Obtain the relevant expert or specialist review before relying on a technical conclusion.
- Review the original source set for relevant material absent from the output, including contrary evidence, qualifications and remaining gaps.
- Confirm the output against the client’s instructions and the complete relevant source material, including omissions or contradictions.
- Resolve exceptions and record the responsible lawyer’s approval of the exact output and intended use.