HoloMD's Dr. Holo doesn't provide therapy or crisis care -- it surfaces patterns between visits for trained staff to review and a treating provider to act on, billed through a specific Medicare Remote Therapeutic Monitoring code family (effective Jan 2022, with cognitive-behavioral monitoring added Jan 2023). The real contrast with unsupervised consumer AI chatbots isn't whether AI is present -- it's who stays accountable for what it notices.