prior-auth-review-skill

67 stars 10 forks

Automate payer review of prior authorization (PA) requests. This skill should be used when users say "Review this PA request", "Process prior authorization for [procedure]", "Assess medical necessity", "Generate PA decision", or when processing clinical documentation for coverage policy validation and authorization decisions.

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#MCP Connector#MCP#NPI MCP#Coverage MCP#CMS Coverage#Subskill#Required MCP#CMS

Third-Party Agent Skill: Review the code before installing. Agent skills execute in your AI assistant's environment and can access your files. Learn more about security

Installation for Agentic Skill

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Claude Code (CLI) Fast

skilz install anthropics/healthcare/prior-auth-review-skill

OpenCode (CLI) Fast

skilz install anthropics/healthcare/prior-auth-review-skill --agent opencode

OpenAI Codex (CLI) Native

skilz install anthropics/healthcare/prior-auth-review-skill --agent codex

Gemini CLI (Project) Project

skilz install anthropics/healthcare/prior-auth-review-skill --agent gemini

First time? Install Skilz: pip install skilz

Works with 22+ AI coding assistants

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For Claude Desktop Easy

Download Agent Skill ZIP

Extract and copy to ~/.claude/skills/ then restart Claude Desktop

Manual Installation

1. Clone the repository:

git clone https://github.com/anthropics/healthcare

2. Copy the agent skill directory:

cp -r healthcare/prior-auth-review-skill ~/.claude/skills/

Agentic Skill Grades →

AI-Detected Topics

Extracted using NLP analysis

MCP Connector MCP NPI MCP Coverage MCP CMS Coverage Subskill Required MCP CMS coverage CMS Fee

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