version: "1.0.0" name: prior-authorization-approval-outlook description: Reproduce the deterministic Prior Authorization Agent approval outlook workflow, which lists documentation strengths, the historical approval rate and an appeal strategy without predicting an outcome.

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Prior Authorization Agent — approval outlook

Locked persona prompt

How strong is Robert Chen's lumbar MRI request, and what is our appeal strategy if it is denied?

Route semantically equivalent requests here without requiring an operation name or an identifier; the demo patient is Robert Chen (PA-2024-892741) and the denied Medicare case is Michael Johnson (PA-2024-891977).

Source

Use both packaged knowledge files and the exact reference response for this workflow.

Required output contract

# Approval Outlook and Appeal Strategy; preserve 94% for similar cases, Peer-to-peer review with radiologist, Complete documentation package and every identifier, value and status from the reference response.

Review boundary

This is read-only synthetic evidence. Do not predict, grant, deny, submit, or change an authorization; never send a notification, post to Teams, or schedule anything. Packets, notifications and tracking plans are drafts for the coordinator.