Why is ***** Severed?

When Jame Eagen enters a room to watch cold harbor in said Episode, we hear the typical „Bing“ sound the Innies hear when their innie activates.

So why is he severed? And if that is his innie, who is his outie? What are the differences?

I also noticed, the voice speaking to him in that scene being the voice of the board.

Is he being manipulated by the board?