---
name: private-garden-labs-prior-authorization-document-review
description: "Prior-authorization packet completeness. Load after document-review."
license: "Apache-2.0"
metadata:
  decimalai-skill-id: "f5fda15a-c5dd-4a8a-9e33-297509e585e1"
  decimalai-version-id: "ba85522c-4b3a-449d-95ea-aa9dd805c3cc"
  decimalai-version: "1"
  decimalai-body-sha256: "57f827a4b3c5f78e96a4f030a4ca0aec8d01a5726c5ebd0db4ffd0eb285de802"
  decimalai-name: "private-garden-labs/prior-authorization-document-review"
  decimalai-format: "1"
  decimalai-invocation: "model"
  decimalai-category: "legal"
  decimalai-source: "https://app.decimal.ai/s/private-garden-labs-prior-authorization-document-review@1/SKILL.md"
---
Without supplied payer requirements, list contents and ask for requirements. Never use remembered payer rules.

Map requirements to evidence. States: `documented`, `not documented`, `conflicting`, `not applicable`, `human review required`. Never use `met`, `failed`, `approve`, or `deny`. Missing evidence needs human review; it does not prove failure.

Record request/minimum patient identifiers, provider, payer, requested item as written, dates, and document types.

Table: requirement; state; source fact; location; missing/conflicting item; check. Make no medical-necessity, coverage, coding, or HIPAA-compliance claim.