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prior-auth-packet-builder

✓ Official★ 27,600

by openai · part of openai/openai-agents-python

Build a concise prior authorization packet from local case files and payer policy docs.

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🧩 One of 7 skills in the openai/openai-agents-python package — works on its own, and pairs well with its siblings.

Build a concise prior authorization packet from local case files and payer policy docs.

Inspect the full instructions your agent will receiveExpand

This is the exact playbook injected into your agent when the skill activates — shown here so you can audit it before installing. You don't need to read it to use the skill.

name: prior-auth-packet-builder description: Build a concise prior authorization packet from local case files and payer policy docs.

Prior Auth Packet Builder

Use this skill when a case requires prior authorization review, referral validation, imaging review, or payer-specific policy checks.

Workflow

  1. Inspect case/scenario.json and case/transcript.txt.
  2. Use rg against policies/ to find payer, prior auth, referral, imaging, and PPO guidance.
  3. Read only the most relevant policy files.
  4. Create output/policy_findings.md with:
    • case summary
    • matched policy files
    • prior auth determination
    • referral determination
    • missing information
  5. Create output/human_review_checklist.md with:
    • what a human reviewer should verify
    • what to tell the patient
    • what queue should own the case

Rules

  • Use targeted rg searches over broad file reads.
  • Only cite policy files you actually inspected.
  • Keep outputs concise and operational.
  • If referral status is pending and prior auth is unclear, recommend human review.