clinical-review

What problem does it solve?

Provider prior authorization submissions often rely on disparate clinical notes and manual synthesis. This skill centralizes retrieval and validation of clinical evidence to produce a trustworthy, audit-ready package.

Core Features & Use Cases

• ICD-10 code validation via MCP with description and billable status, including hierarchy checks for non-billable headers.
• CPT/HCPCS code notation is validated by orchestrator pre-flight; this skill notes submitted codes and the outcomes provided by upstream steps.
• Literature search via PubMed and ClinicalTrials to support medical necessity and treatment approach.
• Structuring a clinical narrative with per-field confidence scoring for downstream payer policy matching.
• Use Case: Compile an evidence package for a new prior authorization request, including diagnostics, procedures, and supporting literature.

Quick Start

Provide a patient case and allow the agent to fetch, validate, and structure supporting clinical evidence.