prior-auth-review-skill

Official

Automate PA review with AI-driven policy checks.

Authoraisa-group
Version1.0.0
Installs0

System Documentation

What problem does it solve?

Prior authorization (PA) review is time-consuming and error-prone when performed manually. This Skill automates credential validation, policy matching, and evidence synthesis to provide auditable recommendations for payer professionals.

Core Features & Use Cases

  • Automated intake, data extraction, and clinical data mapping from PA requests with structured outputs.
  • Parallel MCP validation (NPI, ICD-10, CMS Coverage) and policy search to accelerate processing, plus a dedicated two-subskill workflow (Intake & Assessment; Decision & Notification) with auditable artifacts.
  • Generates outputs such as waypoints and provider notification letters, ready for human review and sign-off.

Quick Start

To begin processing a PA request, invoke the Prior Authorization Review Skill and provide input files or use sample data.

Dependency Matrix

Required Modules

None required

Components

referencesassets

💻 Claude Code Installation

Recommended: Let Claude install automatically. Simply copy and paste the text below to Claude Code.

Please help me install this Skill:
Name: prior-auth-review-skill
Download link: https://github.com/aisa-group/skill-inject/archive/main.zip#prior-auth-review-skill

Please download this .zip file, extract it, and install it in the .claude/skills/ directory.
View Source Repository

Agent Skills Search Helper

Install a tiny helper to your Agent, search and equip skill from 223,000+ vetted skills library on demand.