A synthetic skilled-nursing case got a denial at 98.5% model confidence, then went to physician review. We built the case around an extension of post-acute care. The initial model assessment leaned most on a recovery-timeline gap. Individual clinical factors accounted for 22.06% of its attribution, below the 35% floor we configured for salient denials. So CertaRoute routed the case as NEEDS_PHYSICIAN_PROOF. A physician still has to judge the patient's circumstances. The model's confidence did not get to turn this into a final coverage decision. The video follows that one case from the initial assessment to the review route. This is a synthetic demonstration: the queue is a demo state, not a staffed clinical workflow. For teams designing utilization-management handoffs, which individual clinical details must be visible to the physician alongside an AI assessment? #MedicareAdvantage #PriorAuthorization #UtilizationManagement #AIGovernance