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.
原文语言:英语
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SkillsMP 已收集 microsoft/Prior-Authorization-Multi-Agent-Solution-Accelerator 中的 3 个 Skill。打开任一 Skill 可查看来源和详情。
已展示 3 / 3 个已收集 Skill。
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.
原文语言:英语
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…
原文语言:英语
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.
原文语言:英语