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.
원문 언어: 영어
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SkillsMP는 microsoft/Prior-Authorization-Multi-Agent-Solution-Accelerator에서 3개의 skill을 수집했습니다. skill을 열어 소스와 세부 정보를 확인하세요.
수집된 skill 3개 중 3개를 표시합니다.
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.
원문 언어: 영어
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…
원문 언어: 영어
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.
원문 언어: 영어