The Engine doesn’t ask any of them to act for the employer’s benefit. It gives each one what they already want — and turns their action into evidence the next participant can use. A patient’s completed step becomes the physician’s confirmation. A physician’s documented order becomes the administrator’s evidence base. An administrator’s proof of performance becomes what the fiduciary monitors. An adviser’s tracked recommendation becomes what the fiduciary reviews. A fiduciary’s documented decision becomes part of the record the employer governs by.

Administrator

What was assigned to your function, what did you execute, and what evidence demonstrates it?

What do I gain?

You can inspect what was assigned to you, attach execution evidence, and identify unresolved dependencies — the record shows what you completed and what remains.

What does The Engine ask me to do?

Accept the obligation, complete it inside the deadline that applies to it, attach evidence, or reject it with a reviewable reason.

Who benefits from my action?

The patient gets resolution instead of silence. The fiduciary gets a real performance record to monitor against, instead of a vendor’s word.

What proof does my action create?

Assignment, acceptance, execution, evidence, and whether it landed inside or outside the deadline.

See how it works for everyone

Active situations in The Engine

Administrator portal · #25 Occupational Medicine

Open the perspective-neutral case record →

Accepted work restriction, not carried into floor operations

A lifting restriction (max 7 kg) was issued, delivered to the employer, and acknowledged — but it was not carried into floor operations, and the associate was assigned tasks that exceeded it.

Occupational health (first implementation domain) · A regional distribution center. Manual palletizing and order picking. · A six-week window from the date of the restriction.

Full operating episode with proven economics

Perspective

Same case · facts preserved

Neutral record

The party operating the process or service.

One action, every portal updates

Carry the accepted restriction into floor operations — held by Shift supervisor / operations scheduling. Set the modified-duty flag on the assignment sheet and align tasks to the 7 kg restriction for the remaining period.

Obligation open — all six portals reflect the departure.

Patient
Modified duty not yet confirmed on the floor.
Physician
Restriction accepted but not yet carried into operations.
Employer
Prospective exposure active; loss pattern continues.
Administratorviewing
Obligation open: modified-duty flag not set.
Benefits Adviser
Delay exposure is still accruing.
Fiduciary / Legal
Execution not yet evidenced; departure stands on the record.

The $17,500 demonstrable avoidable cost is already incurred and does not change when the action completes. What changes is forward status: the prospective exposure stops accruing.

Administrator asks

What obligation requires escalation?

One obligation is open: carry the accepted 7 kg restriction into floor operations. It was accepted on Day 0 but not executed from Day 4 onward.

Current status

Accepted restriction NOT carried into floor operations. Obligation open and overdue on the floor.

Timing / delay

Delay elapsed: from Day 4 (first non-compliant assignment) through Day 39 (incident).

What matters now

An accepted obligation is overdue in execution.

Responsible party or process

Shift supervisor / operations scheduling.

Economic consequence

Demonstrable avoidable cost: $17,500 (fixed, already incurred). Prospective exposure continues while the obligation stays open.

Recoverable amountNone asserted

Next action

Escalate to scheduling; set the modified-duty flag and align tasks.

Relevant beneficiary

The associate and the employer.

Evidence (2)

E4 · Accommodation-log entry

verified

Day 0, 14:26

Accommodation register row opened: max lift 7 kg, status active.

E5 · Shift task-assignment sheet

verified

Day 4, 06:00 (recurring)

Shift assignment sheet — palletizing 20–25 kg, no modified-duty flag.

Inspect the full evidence record →

Boundary

One obligation for this episode.

Authority boundary

May execute, transmit, coordinate, or document obligations within its authority.

Limit: Does not automatically control clinical decisions, employer operations, or all downstream outcomes.

Actions not available to this participant (5)

determine clinical correctness
adjudicate employer economics
close (without execution evidence)
recover
approve (clinical)

Where evidence is insufficient

Execution claimed but evidence absent; responsibility indicated but attribution unresolved; dependencies outside the administrator authority unresolved.

Inspect the evidence →The flagship record →The specialty catalogue →Compare perspectives →