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SkillsMP has collected 3 skills from microsoft/Prior-Authorization-Multi-Agent-Solution-Accelerator. Open a skill to review its source and details.
Showing 3 of 3 collected skills.
Synthesizes outputs from Compliance, Clinical, and Coverage agents into a final APPROVE or PEND recommendation using gate-based evaluation with LENIENT mode policy, weighted confidence scoring, and structured audit trail.
Extracts clinical data from prior authorization requests, validates ICD-10 diagnosis codes via MCP, notes CPT/HCPCS procedure codes (format validation handled by orchestrator pre-flight), searches supporting literature via PubMed and clinical trials, and…
Verifies provider credentials via NPI MCP, searches Medicare coverage policies via CMS Coverage MCP, and maps clinical evidence to policy criteria with MET/NOT_MET/INSUFFICIENT assessment, per-criterion confidence scoring, and documentation gap analysis.