kind: InlineAgentSkill
content: |
  ---
  name: prior-authorization-payer-requirements-check
  description: Reproduce the deterministic Prior Authorization Agent payer requirements check workflow, which matches payer requirements for CPT 72148 to the documentation for utilization review.
  ---
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  # Prior Authorization Agent — payer requirements check

  ## Locked persona prompt

  `Check Robert Chen's payer requirements for the lumbar MRI against his documentation.`

  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

  `# Insurance Requirements`; preserve `PT x6 weeks`, `Red flag screening`, `All required criteria met` 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.
