Verifies provider credentials via NPI MCP, searches Medicare coverage policies via CMS Coverage MCP, and maps clinical evidence against payer policy requirements with MET/NOTMET/INSUFFICIENT status, per-criterion confidence scoring, and documentation gap analysis. Provider-side focus — assesses whether evidence is sufficient for submission, not whether payer will approve.
EnglishAssesses submission readiness of a prior authorization request based on outputs from Documentation Completeness, Clinical Evidence Retrieval, and Policy Matching agents. Uses gate-based evaluation with weighted confidence scoring and structured audit trail. Returns readytosubmit or needsreview.
English
AGENT SKILLS ATLASIncludes Coverage Assessment and Synthesis Decision.
Claude Code
Codex
Cursor
GitHub Copilot
Gemini CLISupported by the Atlas install prompt. Skill-specific requirements vary.
Pack stats
What’s included
Coverage Assessment
Verifies provider credentials via NPI MCP, searches Medicare coverage policies via CMS Coverage MCP, and maps clinical evidence against payer policy requirements with MET/NOTMET/INSUFFICIENT status, per-criterion confidence scoring, and documentation gap analysis. Provider-side focus — assesses whether evidence is sufficient for submission, not whether payer will approve.
Synthesis Decision
Assesses submission readiness of a prior authorization request based on outputs from Documentation Completeness, Clinical Evidence Retrieval, and Policy Matching agents. Uses gate-based evaluation with weighted confidence scoring and structured audit trail. Returns readytosubmit or needsreview.
Quick start
- Choose your skills. Select individual skills above, or choose the entire pack.
- Copy the install prompt. Use Copy install prompt above the list.
- Send it to your agent. Paste into your coding agent’s chat. Your agent reviews the source and guides the setup.
Try it with your agent
After installation, start with a request like:
Use the Coverage Assessment skill to help with my task.
Ask me for the context you need before getting started.Requirements & license
- A coding agent that can access your project files and install skills.
- Your agent checks each skill’s instructions, dependencies, and permissions during setup.
- Reported license for the skills shown: MIT. The author’s terms apply.