brianletort.ai
← Collections

Regulated autonomy

Autonomy works when the boundary is explicit.

In regulated and safety-sensitive work, the relevant design question is not whether AI acts. It is what lane it may act within, which controls are deterministic, who owns the exception, and where a licensed or accountable person must intervene.

Inclusion criteria

Includes credit, insurance, financial-crime, clinical-operations, and healthcare-screening cases using retained, shared, or bounded-autonomy decision modes.

30 cases · bundle 1.0.0 · reviewed 2026-08-23

01

TD Bank Group

Editorial lead

Mortgage and HELOC pre-adjudication and application memo preparation

That preparing a mortgage or HELOC file for a credit decision requires a human to read the document package end to end - classifying documents, extracting figures, calculating income, checking consents and writing the summary - because borrower documents are too variable for a rules engine to handle reliably.

Current · updated

1 independent, 1 primary; publication outcomes are verified and reported.

Canonical case →

03

Kaiser Permanente Northern California

Editorial lead

Advance Alert Monitor

A predictive alert does not need to interrupt every bedside clinician; a centralized nurse team can validate the signal and activate local clinical response only when warranted.

Current · updated

1 peer reviewed, 2 primary; publication outcomes are verified.

Canonical case →

04

HSBC

Editorial lead

Dynamic Risk Assessment transaction monitoring

Transaction-monitoring teams do not need a large rules-generated queue to preserve risk coverage; machine-learning risk detection can narrow the queue while investigators retain consequential review.

Current · updated

2 primary, 1 vendor; publication outcomes are verified and reported.

Canonical case →

05

2IQP multicenter trial / Tandem Diabetes Care

Editorial lead

CGM-driven automated insulin delivery

Bounded closed-loop control can adjust insulin while patients and clinicians retain targets and safety response.

Current · updated

1 independent, 1 peer reviewed; publication outcomes are verified.

Canonical case →

07

Greater Houston primary stroke centers

Automated LVO detection with parallel transfer notification

Large-vessel occlusion at a non-thrombectomy primary stroke center has to be recognized and the receiving team activated through sequential imaging review and conventional communication before transfer can start.

Current · updated

4 peer reviewed; publication outcomes are verified.

Canonical case →

14

JPMorgan Chase

COiN agreement extraction

Defined attributes can be extracted across annual volume while lawyers handle interpretation exceptions.

Current · updated

1 independent, 1 primary; publication outcomes are reported.

Canonical case →

16

AIA Group

GenAI-enabled medical claims straight-through processing

Medical claims require a human to read every document before payment. AIA instead built a three-tier GenAI stack (OCR intake, report summarization, auto-adjudication plus FWA anomaly detection) so most claims complete without human touch.

Current · updated

2 primary; publication outcomes are verified and reported.

Canonical case →

17

United Kingdom Serious Fraud Office

AI legal-privilege screening and investigative document analysis

AI can perform first-pass privilege screening at scale while lawyers retain privilege and prosecution judgments.

Watch status: verify the cited source and deployment condition before reusing this case.

Watch · updated

Watch status: verify the cited source and deployment condition before reusing this case.

1 primary; publication outcomes are verified.

Canonical case →

27

Mastercard

Decision Intelligence Pro graph-based transaction risk scoring

A sub-50-millisecond model can enrich transaction risk before the issuing bank decides approval.

Watch status: verify the cited source and deployment condition before reusing this case.

Watch · updated

Watch status: verify the cited source and deployment condition before reusing this case.

1 primary; publication outcomes are reported.

Canonical case →

29

HCA Healthcare

SPOT continuous sepsis surveillance

Sepsis surveillance should follow patient data continuously rather than wait for nursing rounds or shift changes.

Watch status: verify the cited source and deployment condition before reusing this case.

Watch · updated

Watch status: verify the cited source and deployment condition before reusing this case.

3 primary; publication outcomes are reported.

Canonical case →