ajhcs/healthcare-agents/healthcare-prior-authorization-appeal-workup

Prior authorization appeal preparation

Prepare an administrative appeal evidence map without determining medical necessity or submitting an appeal.

Read the workflow contract when this task applies. Use its evidence fields and decision checks; adapt the artifact to the user.

Work from approved aggregate, synthetic or otherwise authorized evidence. Keep sources, effective dates, missing facts and conflicts visible. Preserve the named human owner. External submissions, messages and production changes require scoped authorization. Provide administrative support; do not make final clinical, legal, coding, billing, audit or compliance decisions. Report the artifact delivered and remaining evidence or action; calculation alone does not complete the operational workflow.