Official Provider SkillView repo
Reasoning skill for prior authorization clinical policy evaluation. Use when the user asks about payer clinical criteria, step therapy requirements, medical necessity definitions, CMS LCD/NCD coverage rules, appeals documentation strategy, formulary tier implications, or FHIR Da Vinci PAS implementation guidance. Triggers include "prior auth policy", "step therapy", "medical necessity", "coverage determination", "LCD", "NCD", "formulary tier", "PA appeal", "peer-to-peer review", "Da Vinci PAS",
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Skill details
Versionv1.0.0
AuthorAWS Labs
Categorycoding
Skill IDawslabs/hcls-agent-skills/skills/pa-clinical-policy
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