Individual skill
prior-authorization-letter
Write a persuasive prior-authorization / medical-necessity letter to an insurer. Use when asked to write a prior authorization letter, a letter of medical necessity, or to appeal a denied treatment/medication/procedure. Produces a structured letter — patient and request, clinical justification tied to guidelines, treatments tried, and the specific approval asked for — ready for clinician review and signature.
skills/prior-authorization-letter/SKILL.md
Source commit f7c90bc09ee05dc25cf257bdb1826f2c2552c2cb
What was checked
- Matches the observed repository HEAD
- Yes
- Scanner rules are current
- Yes
- Repository scan complete
- No
- Skill scan complete
- No
- Observed behavior
- Network or broad shell
- Last checked
- Nov 9, 2026
These are observations at the recorded commit, not a guarantee of safety. Review the source before running it.
Install this skill
Choose an agent in your Stack or copy a command below. Commands fetch the pinned commit and copy only this skill directory. Existing destinations are refused. Copying a command does not install anything.
An install command is unavailable: current rules, complete repository and skill scans, an eligible behavior level and a permitted license are required.
Repository context
- Repository stars (not skill ratings)
- 1,540
- Repository last updated
- Nov 10, 2026
- License
- MIT
Observed agent integration: No specific integration evidence. Standard SKILL.md installation does not imply verified compatibility.
- product-management Repository topic
- productivity Repository topic
- skills Repository topic
- claude-skills Repository topic
- agent-skills Repository topic
- chatgpt Repository topic
- claude-code Repository topic
- cursor Repository topic
- gemini Repository topic
- prompt-engineering Repository topic
- engineering Derived category
Files and excerpt
File metadata and permitted, redacted excerpts come from the recorded scan. Source links are pinned to that commit.
Browse files
SKILL.mdcore · 4,659 bytes
Read excerpt
# Prior Authorization Letter Skill
A prior-auth or medical-necessity letter succeeds when it connects *this patient's* clinical facts to the
insurer's coverage criteria — clearly, with evidence, and with the exact request spelled out. This skill
structures that argument so the reviewer can approve it quickly, and so an appeal addresses the stated denial
reason head-on.
> **Clinical-safety note:** this is a documentation aid, **not medical advice**. The clinical justification must
> reflect the treating clinician's judgement and the patient's actual record; the clinician must review, verify,
> and sign before submission. Do not invent diagnoses, codes, history, or evidence.
## Working from a brief
Given the treatment and a diagnosis, **produce the full letter anyway** — structure the argument and insert the