ADM.14:4.2 - State the claim and decision the control must serve

Translate the requirement into the actual case question: whether this beneficiary is eligible at use, whether this action has the necessary authority, or whether this expense has already been reimbursed.

Distinguish the factual result from the decision made with it. An unavailable identity check is not proof of ineligibility. An authorized exception can permit a bounded action while the failed or absent factual result remains as it was.

Identify who needs the result and how it changes action. If the existing test answers another claim, name the gap. Do not choose a convenient measurement merely because the system can produce it.