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Individual AI skill · AI for Biomedical Research

prior-auth-review-skill

Automatiza la revision de solicitudes de autorizacion previa (PA) por aseguradoras medicas. Incluye validation y appeals.

Source content · review pending Source language: EN

Free ZIP · One canonical method · Usage example · Installation guide · Licence notices

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How to ask with this skill installed

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1Name the real task

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2Provide the evidence

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3Define done

Set format, quality criteria and checks.

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What you need first

Required MCP Servers

This skill requires 3 healthcare MCP connectors:

  1. CMS Coverage MCP Connector - Medicare coverage policies (NCDs, LCDs)
  2. ICD-10 MCP Connector - Diagnosis code validation and lookup
  3. NPI MCP Connector - Healthcare provider verification via NPPES

For detailed tool usage, parameters, and CMS web resources, see [references/01-intake-assessment.md](references/01-intake-assessment.md#prerequisites).

MCP Invocation Notifications

During execution, the skill displays notifications before and after each MCP connector call:

  • Before: "Verifying provider credentials via NPI MCP Connector..."
  • After: "NPI MCP Connector completed successfully - Provider verified: Dr. [Name]"
  • Before: "Validating diagnosis codes via ICD-10 MCP Connector..."
  • After: "ICD-10 MCP Connector completed successfully - [N] codes validated"
  • Before: "Searching coverage policies via CMS Coverage MCP Connector..."
  • After: "CMS Coverage MCP Connector completed successfully - Found policy: [Policy ID]"
  • Before: "Validating procedure codes via CMS Fee Schedule..."
  • After: "CPT/HCPCS codes validated via CMS Fee Schedule - [N] codes checked"

File Structure

See README.md File Organization section for complete directory structure and file descriptions.

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AI for Biomedical Research

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Catalogue path
skills/verticals/biomedical-research/skills/prior-auth-review-skill
Ficha origin
Extracted from SKILL.md
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