Generate professional prior authorization request letters for insurance companies with proper clinical justification and formatting.
Generate professional prior authorization request letters for insurance companies with proper clinical justification and formatting.
See ## Features above for related details.
scripts/main.py.references/ for task-specific guidance.See ## Prerequisites above for related details.
Python: 3.10+. Repository baseline for current packaged skills.dataclasses: unspecified. Declared in requirements.txt.main: unspecified. Declared in requirements.txt.See ## Usage above for related details.
cd "20260318/scientific-skills/Academic Writing/prior-auth-letter-drafter"
python -m py_compile scripts/main.py
python scripts/main.py --help
Example run plan:
CONFIG block or documented parameters if the script uses fixed settings.python scripts/main.py with the validated inputs.See ## Workflow above for related details.
scripts/main.py.references/ contains supporting rules, prompts, or checklists.Use this command to verify that the packaged script entry point can be parsed before deeper execution.
python -m py_compile scripts/main.py
Use these concrete commands for validation. They are intentionally self-contained and avoid placeholder paths.
python -m py_compile scripts/main.py
python scripts/main.py --help
python scripts/main.py --input "Audit validation sample with explicit symptoms, history, assessment, and next-step plan."
python scripts/main.py --input patient_data.json --output letter.docx
| Parameter | Type | Required | Description |
|---|---|---|---|
| patient_name | str | Yes | Full name of the patient |
| patient_id | str | Yes | Insurance member ID |
| provider_name | str | Yes | Requesting physician name |
| provider_npi | str | Yes | National Provider Identifier |
| service_type | str | Yes | Procedure, medication, or DME |
| cpt_code | str | No | CPT/HCPCS code |
| icd10_code | str | Yes | Diagnosis code(s) |
| clinical_justification | str | Yes | Medical necessity reasoning |
| insurance_carrier | str | Yes | Insurance company name |
procedure - Surgical or diagnostic proceduresmedication - Specialty/brand-name drugsdme - Durable medical equipmentimaging - Advanced imaging (MRI, CT, PET)Generates a formatted prior authorization letter including:
references/letter_template.docx - Base templatereferences/clinical_phrases.md - Common clinical justification phrasesreferences/carrier_requirements.json - Insurance-specific formatting rules| Risk Indicator | Assessment | Level |
|---|---|---|
| Code Execution | Python/R scripts executed locally | Medium |
| Network Access | No external API calls | Low |
| File System Access | Read input files, write output files | Medium |
| Instruction Tampering | Standard prompt guidelines | Low |
| Data Exposure | Output files saved to workspace | Low |
# Python dependencies
pip install -r requirements.txt
Every final response should make these items explicit when they are relevant:
scripts/main.py fails, report the failure point, summarize what still can be completed safely, and provide a manual fallback.This skill accepts requests that match the documented purpose of prior-auth-letter-drafter and include enough context to complete the workflow safely.
Do not continue the workflow when the request is out of scope, missing a critical input, or would require unsupported assumptions. Instead respond:
prior-auth-letter-drafteronly handles its documented workflow. Please provide the missing required inputs or switch to a more suitable skill.
Use the following fixed structure for non-trivial requests:
If the request is simple, you may compress the structure, but still keep assumptions and limits explicit when they affect correctness.