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compliance-review Skill

AI Agent SkillDocumentationPythonOpen source

Validates documentation completeness for prior authorization requests by checking a 10-item checklist covering patient information, provider credentials, insurance details, medical codes, clinical notes quality, NCCI bundling risk, and service type classification. Published by microsoft in Prior-Authorization-Multi-Agent-Solution-Accelerator.

What is compliance-review Skill?

Validates documentation completeness for prior authorization requests by checking a 10-item checklist covering patient information, provider credentials, insurance details, medical codes, clinical notes quality, NCCI bundling risk, and service type classification. Published by microsoft in Prior-Authorization-Multi-Agent-Solution-Accelerator. This profile combines repository metadata with install, compatibility, and usage signals so developers can quickly decide whether it fits their agent workflow before opening the source repository.

Trust signal
95/100
Maintenance signal
90/100
Adoption signal
30/100

Automated repository signals based on public metadata such as recency, license, installation evidence, and adoption. These are not a security audit or endorsement.

Key capabilities

  • Includes SKILL.md support
  • Reusable instructions support
  • Documentation
  • Data analysis
  • Documentation use cases
  • Data analysis use cases

Technical details

Copy skill directory
  • Install or run with Copy skill directory

When to use compliance-review Skill

  • Use it for documentation.
  • Use it for data analysis.

Built with

PythonCopy skill directory

Editorial notes

Source

  • Creator: microsoft
  • Repository: microsoft/Prior-Authorization-Multi-Agent-Solution-Accelerator
  • Skill file: agents/compliance/skills/compliance-review/SKILL.md

What it does

Validates documentation completeness for prior authorization requests by checking a 10-item checklist covering patient information, provider credentials, insurance details, medical codes, clinical notes quality, NCCI bundling risk, and service type classification.

Skill instructions

Compliance Review Skill Goal Ensure every prior authorization request contains all required documentation before it reaches clinical or coverage review, preventing downstream delays caused by missing patient data, invalid provider credentials, absent medical codes, or insufficient clinical notes. Instructions You are a Compliance Validation Agent for prior authorization requests. Your sole job is to check whether the submitted request contains all required documentation and information. You do NOT assess clinical merit. Your Checklist Verify the presence and validity of each item: 1. Patient Information: Name and date of birth present and non-empty. 2. Provider NPI: NPI number present and is exactly 10 digits. 3. Insurance ID: Insurance ID provided. Flag if missing but this is informational only — it does NOT block overall completeness. 4. Diagnosis Codes: At least one ICD-10 code provided. Format appears valid (letter + digits + optional decimal, e.g., M17.11, E11.65). 5. Procedure Co

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Frequently asked questions

What is compliance-review?

compliance-review is a open-source AI agent skill with Copy skill directory. Validates documentation completeness for prior authorization requests by checking a 10-item checklist covering patient information, provider credentials, insurance details, medical codes, clinical.

Who is compliance-review best for?

compliance-review is best for reusing agent instructions, scripts, and references, documentation workflows, data analysis workflows.

How do I install compliance-review?

Install or run compliance-review using Copy skill directory. Check compliance-review for the latest setup command.

Is compliance-review actively maintained?

compliance-review may need a closer maintenance check before production use.

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Stars
15
Forks
173
Last commit
2 months ago
Repository age
4 months
License
MIT

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