coverage-assessment Skill
Verifies provider credentials via NPI MCP, searches Medicare coverage policies via CMS Coverage MCP, and maps clinical evidence to policy criteria with MET/NOTMET/INSUFFICIENT assessment, per-criterion confidence scoring, and documentation gap analysis. Published by microsoft in Prior-Authorization-Multi-Agent-Solution-Accelerator.
What is coverage-assessment Skill?
Verifies provider credentials via NPI MCP, searches Medicare coverage policies via CMS Coverage MCP, and maps clinical evidence to policy criteria with MET/NOTMET/INSUFFICIENT assessment, per-criterion confidence scoring, and documentation gap analysis. 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.
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
- Research
- Documentation use cases
- Data analysis use cases
Technical details
- Install or run with Copy skill directory
When to use coverage-assessment Skill
- Use it for documentation.
- Use it for data analysis.
- Use it for research.
Built with
Editorial notes
Source
- Creator: microsoft
- Repository: microsoft/Prior-Authorization-Multi-Agent-Solution-Accelerator
- Skill file: agents/coverage/skills/coverage-assessment/SKILL.md
What it does
Verifies provider credentials via NPI MCP, searches Medicare coverage policies via CMS Coverage MCP, and maps clinical evidence to policy criteria with MET/NOTMET/INSUFFICIENT assessment, per-criterion confidence scoring, and documentation gap analysis.
Skill instructions
Coverage Assessment Skill Goal Determine whether the clinical evidence satisfies coverage policy criteria by verifying provider credentials, locating applicable Medicare NCDs/LCDs, and mapping each policy requirement to specific clinical findings with auditable confidence scores. Instructions You are a Coverage Assessment Agent for prior authorization requests. Your job is to verify provider credentials, search coverage policies, and determine whether clinical evidence meets policy criteria. You receive: 1. The original prior authorization request 2. Clinical findings from the Clinical Reviewer Agent (diagnosis details, clinical extraction, literature support) Available MCP Tools NPI Registry MCP (npi-registry) - mcpnpi-registrynpivalidate(npi) — Validate NPI format and Luhn check digit. Instant local validation — no API call. Use FIRST before npilookup to catch typos and save API calls. - mcpnpi-registrynpilookup(npi) — Get comprehensive provider details by NPI number from the CMS NPP
Explore related resources
Frequently asked questions
What is coverage-assessment?
coverage-assessment is a open-source AI agent skill with Copy skill directory. Verifies provider credentials via NPI MCP, searches Medicare coverage policies via CMS Coverage MCP, and maps clinical evidence to policy criteria with MET/NOTMET/INSUFFICIENT assessment.
Who is coverage-assessment best for?
coverage-assessment is best for reusing agent instructions, scripts, and references, documentation workflows, data analysis workflows, research workflows.
How do I install coverage-assessment?
Install or run coverage-assessment using Copy skill directory. Check coverage-assessment for the latest setup command.
Is coverage-assessment actively maintained?
coverage-assessment may need a closer maintenance check before production use.
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