prior-auth-packet-builder Skill

Source

• Creator: openai
• Repository: openai/openai-agents-python
• Skill file: examples/sandbox/healthcare_support/skills/prior-auth-packet-builder/SKILL.md

What it does

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

Skill instructions

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/policyfindings.md with: - case summary - matched policy files - prior auth determination - referral determination - missing information 5. Create output/humanreviewchecklist.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.