kind: InlineAgentSkill
content: |
  ---
  name: prior-authorization-approval-outlook
  description: Reproduce the deterministic Prior Authorization Agent approval outlook workflow, which lists documentation strengths, the historical approval rate and an appeal strategy without predicting an outcome.
  ---
  <!-- bic:source=blank -->
  # Prior Authorization Agent — approval outlook

  ## Locked persona prompt

  `How strong is Robert Chen's lumbar MRI request, and what is our appeal strategy if it is denied?`

  Route semantically equivalent requests here without requiring an operation name or an identifier; the demo patient is Robert Chen (PA-2024-892741) and the denied Medicare case is Michael Johnson (PA-2024-891977).

  ## Source

  Use both packaged knowledge files and the exact reference response for this workflow.

  ## Required output contract

  `# Approval Outlook and Appeal Strategy`; preserve `94% for similar cases`, `Peer-to-peer review with radiologist`, `Complete documentation package` and every identifier, value and status from the reference response.

  ## Review boundary

  This is read-only synthetic evidence. Do not predict, grant, deny, submit, or change an authorization; never send a notification, post to Teams, or schedule anything. Packets, notifications and tracking plans are drafts for the coordinator.
