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Get Started Free →Automate payer review of prior authorization (PA) requests. This skill should be used when users say "Review this PA request", "Process prior authorization for [procedure]", "Assess medical necessity", "Generate PA decision", or when processing clinical documentation for coverage policy validation and authorization decisions.
SkillScore45/100
Test results 45
3/3 safety checks passed
9%45%of test cases passed +36 pts
Passed 10 of 22 test cases with the skill, and 2 of 22 without it.
8 fixed2 passed either way12 still failing0 broke
Adds every file the skill has, pinned so you can update it. No account needed.
pip install "decimalai>=0.15"
decimalai skills add prior-auth-review-skill
claude --plugin-dir "$(git rev-parse --show-toplevel 2>/dev/null || pwd)/.agents"The same install from Python, for a notebook or a setup script.
pip install "decimalai>=0.15"from decimalai import skillpkg
# Writes .agents/skills and .decimal/skills.toml. Safe to run twice.
result = skillpkg.add("prior-auth-review-skill")
if result.exit_code:
raise SystemExit(result.problems)
print("Added. Start Claude Code with the command below.")claude --plugin-dir "$(git rev-parse --show-toplevel 2>/dev/null || pwd)/.agents"Type these in a Claude Code session. No account or API key. It writes the skill and any files it bundles, and asks first when its safety rating isn't Passed.
/plugin marketplace add decimal-labs/decimalai-claude-plugins
/plugin install decimalai@decimalai/decimalai:install prior-auth-review-skillThe plugin needs python3 and curl on your machine.
No Python or account. Claude Code picks it up in its next session.
curl -fsSL --create-dirs -o .claude/skills/prior-auth-review-skill/SKILL.md https://app.decimal.ai/s/prior-auth-review-skill/SKILL.md.claude/skills/prior-auth-review-skill/SKILL.mdThis gets SKILL.md only. The skill's 6 other files are not included.
agent_config() hands your agent the skill. With no DecimalAI key it reads your project's files and sends nothing. Needs SDK 0.27 or newer.
pip install "decimalai[claude-agent-sdk]"
decimalai skills add prior-auth-review-skillimport asyncio
from claude_agent_sdk import ClaudeAgentOptions
from decimalai.claude_agent_sdk import agent_config
# With no DECIMAL_API_KEY this reads the skills your project lists, from disk.
support = agent_config("support", fallback="You are a helpful agent.")
async def main():
question = "Hello!"
async with support.run(question) as run: # one user message, one run
async for message in run.query(options=ClaudeAgentOptions(max_turns=6)):
print(message)
# In a notebook or async code: await main()
asyncio.run(main())Prefer its own loader? ClaudeAgentOptions(plugins=[skills_plugin()], skills="all") reads the same folder. Use one or the other: a skill delivered both ways reaches the prompt twice.
The same install from Python, for a notebook or a setup script. agent_config() hands your agent the skill. With no DecimalAI key it reads your project's files and sends nothing. Needs SDK 0.27 or newer.
pip install "decimalai[claude-agent-sdk]"from decimalai import skillpkg
# Writes .agents/skills and .decimal/skills.toml. Safe to run twice.
result = skillpkg.add("prior-auth-review-skill")
if result.exit_code:
raise SystemExit(result.problems)
import asyncio
from claude_agent_sdk import ClaudeAgentOptions
from decimalai.claude_agent_sdk import agent_config
# With no DECIMAL_API_KEY this reads the skills your project lists, from disk.
support = agent_config("support", fallback="You are a helpful agent.")
async def main():
question = "Hello!"
async with support.run(question) as run: # one user message, one run
async for message in run.query(options=ClaudeAgentOptions(max_turns=6)):
print(message)
# In a notebook or async code: await main()
asyncio.run(main())Prefer its own loader? ClaudeAgentOptions(plugins=[skills_plugin()], skills="all") reads the same folder. Use one or the other: a skill delivered both ways reaches the prompt twice.
No DecimalAI package. The whole skill goes in every prompt, and nothing pins or updates it.
.agents/skills/prior-auth-review-skill/SKILL.mdimport asyncio
from pathlib import Path
from claude_agent_sdk import ClaudeAgentOptions, query
skill = Path(".agents/skills/prior-auth-review-skill/SKILL.md").read_text()
options = ClaudeAgentOptions(system_prompt=f"You are a helpful agent.\n\n{skill}", max_turns=6)
async def main():
async for message in query(prompt="Hello!", options=options):
print(message)
# In a notebook or async code: await main()
asyncio.run(main())This gets SKILL.md only. The skill's 6 other files are not included.
agent_config() hands your agent the skill. With no DecimalAI key it reads your project's files and sends nothing. Needs SDK 0.27 or newer.
pip install "decimalai[openai-agents]"
decimalai skills add prior-auth-review-skillfrom agents import Agent, Runner
from decimalai.openai_agents import agent_config
# With no DECIMAL_API_KEY this reads the skills your project lists, from disk.
support = agent_config("support", fallback="You are a helpful agent.")
agent = Agent(
name=support.name,
instructions=support.instructions, # your prompt, then the skill list
tools=[*support.tools], # your tools, then load_skill
)
# In a notebook or async code: result = await Runner.run(agent, "Hello!")
result = Runner.run_sync(agent, "Hello!")Using SandboxAgent? capabilities=[Shell(), decimalai.openai_agents.sandbox_skills()] points its own loader at the same folder.
The same install from Python, for a notebook or a setup script. agent_config() hands your agent the skill. With no DecimalAI key it reads your project's files and sends nothing. Needs SDK 0.27 or newer.
pip install "decimalai[openai-agents]"from decimalai import skillpkg
# Writes .agents/skills and .decimal/skills.toml. Safe to run twice.
result = skillpkg.add("prior-auth-review-skill")
if result.exit_code:
raise SystemExit(result.problems)
from agents import Agent, Runner
from decimalai.openai_agents import agent_config
# With no DECIMAL_API_KEY this reads the skills your project lists, from disk.
support = agent_config("support", fallback="You are a helpful agent.")
agent = Agent(
name=support.name,
instructions=support.instructions, # your prompt, then the skill list
tools=[*support.tools], # your tools, then load_skill
)
# In a notebook or async code: result = await Runner.run(agent, "Hello!")
result = Runner.run_sync(agent, "Hello!")Using SandboxAgent? capabilities=[Shell(), decimalai.openai_agents.sandbox_skills()] points its own loader at the same folder.
No DecimalAI package. The whole skill goes in every prompt, and nothing pins or updates it.
.agents/skills/prior-auth-review-skill/SKILL.mdfrom pathlib import Path
from agents import Agent, Runner
skill = Path(".agents/skills/prior-auth-review-skill/SKILL.md").read_text()
agent = Agent(name="support", instructions=f"You are a helpful agent.\n\n{skill}")
# In a notebook or async code: result = await Runner.run(agent, "Hello!")
result = Runner.run_sync(agent, "Hello!")This gets SKILL.md only. The skill's 6 other files are not included.
agent_config() hands your agent the skill. With no DecimalAI key it reads your project's files and sends nothing. Needs SDK 0.27 or newer.
pip install "decimalai[openai]"
decimalai skills add prior-auth-review-skillimport json
from openai import OpenAI
from decimalai.openai import agent_config
client = OpenAI()
# With no DECIMAL_API_KEY this reads the skills your project lists, from disk.
support = agent_config("support", fallback="You are a helpful agent.")
def lookup_order(order_id: str) -> str:
return f"Order {order_id} shipped yesterday."
# Your tools, as Chat Completions takes them, and what answers each.
TOOLS = [{"type": "function", "function": {
"name": "lookup_order",
"description": "Look up the status of an order.",
"parameters": {"type": "object", "properties": {"order_id": {"type": "string"}},
"required": ["order_id"]},
}}]
FUNCTIONS = {"lookup_order": lookup_order}
question = "Where is order A1001?"
with support.run(question) as run: # one user message, one run
# run.system is your prompt, then the skill list.
messages = [{"role": "system", "content": run.system}, run.message]
while True:
reply = client.chat.completions.create(
model="gpt-5.4-mini",
messages=messages,
tools=[*TOOLS, *run.tools], # your tools, then load_skill
).choices[0].message
messages.append(reply)
if not reply.tool_calls:
break
for call in reply.tool_calls:
# load_skill is answered by the run; your own tools by FUNCTIONS.
function = FUNCTIONS.get(call.function.name)
messages.append(run.tool_result(call) or {
"role": "tool", "tool_call_id": call.id,
"content": function(**json.loads(call.function.arguments)) if function
else f"There is no tool named {call.function.name!r}.",
})
print(reply.content)
# The Responses API takes run.response_tools instead of run.tools.The same install from Python, for a notebook or a setup script. agent_config() hands your agent the skill. With no DecimalAI key it reads your project's files and sends nothing. Needs SDK 0.27 or newer.
pip install "decimalai[openai]"from decimalai import skillpkg
# Writes .agents/skills and .decimal/skills.toml. Safe to run twice.
result = skillpkg.add("prior-auth-review-skill")
if result.exit_code:
raise SystemExit(result.problems)
import json
from openai import OpenAI
from decimalai.openai import agent_config
client = OpenAI()
# With no DECIMAL_API_KEY this reads the skills your project lists, from disk.
support = agent_config("support", fallback="You are a helpful agent.")
def lookup_order(order_id: str) -> str:
return f"Order {order_id} shipped yesterday."
# Your tools, as Chat Completions takes them, and what answers each.
TOOLS = [{"type": "function", "function": {
"name": "lookup_order",
"description": "Look up the status of an order.",
"parameters": {"type": "object", "properties": {"order_id": {"type": "string"}},
"required": ["order_id"]},
}}]
FUNCTIONS = {"lookup_order": lookup_order}
question = "Where is order A1001?"
with support.run(question) as run: # one user message, one run
# run.system is your prompt, then the skill list.
messages = [{"role": "system", "content": run.system}, run.message]
while True:
reply = client.chat.completions.create(
model="gpt-5.4-mini",
messages=messages,
tools=[*TOOLS, *run.tools], # your tools, then load_skill
).choices[0].message
messages.append(reply)
if not reply.tool_calls:
break
for call in reply.tool_calls:
# load_skill is answered by the run; your own tools by FUNCTIONS.
function = FUNCTIONS.get(call.function.name)
messages.append(run.tool_result(call) or {
"role": "tool", "tool_call_id": call.id,
"content": function(**json.loads(call.function.arguments)) if function
else f"There is no tool named {call.function.name!r}.",
})
print(reply.content)
# The Responses API takes run.response_tools instead of run.tools.No DecimalAI package. The whole skill goes in every prompt, and nothing pins or updates it.
.agents/skills/prior-auth-review-skill/SKILL.mdfrom pathlib import Path
from openai import OpenAI
client = OpenAI()
skill = Path(".agents/skills/prior-auth-review-skill/SKILL.md").read_text()
reply = client.chat.completions.create(
model="gpt-5.4-mini",
messages=[
{"role": "system", "content": f"You are a helpful agent.\n\n{skill}"},
{"role": "user", "content": "Hello!"},
],
).choices[0].messageThis gets SKILL.md only. The skill's 6 other files are not included.
agent_config() hands your agent the skill. With no DecimalAI key it reads your project's files and sends nothing. Needs SDK 0.27 or newer.
pip install "decimalai[anthropic]"
decimalai skills add prior-auth-review-skillimport anthropic
from decimalai.anthropic import agent_config
client = anthropic.Anthropic()
# With no DECIMAL_API_KEY this reads the skills your project lists, from disk.
support = agent_config("support", fallback="You are a helpful agent.")
question = "Hello!"
with support.run(question) as run: # one user message, one run
answer = client.beta.messages.tool_runner(
model="claude-haiku-5-5",
max_tokens=4096,
system=run.system, # your prompt, then the skill list
tools=[*run.tools], # your tools, then load_skill
messages=[{"role": "user", "content": question}],
).until_done()The same install from Python, for a notebook or a setup script. agent_config() hands your agent the skill. With no DecimalAI key it reads your project's files and sends nothing. Needs SDK 0.27 or newer.
pip install "decimalai[anthropic]"from decimalai import skillpkg
# Writes .agents/skills and .decimal/skills.toml. Safe to run twice.
result = skillpkg.add("prior-auth-review-skill")
if result.exit_code:
raise SystemExit(result.problems)
import anthropic
from decimalai.anthropic import agent_config
client = anthropic.Anthropic()
# With no DECIMAL_API_KEY this reads the skills your project lists, from disk.
support = agent_config("support", fallback="You are a helpful agent.")
question = "Hello!"
with support.run(question) as run: # one user message, one run
answer = client.beta.messages.tool_runner(
model="claude-haiku-5-5",
max_tokens=4096,
system=run.system, # your prompt, then the skill list
tools=[*run.tools], # your tools, then load_skill
messages=[{"role": "user", "content": question}],
).until_done()No DecimalAI package. The whole skill goes in every prompt, and nothing pins or updates it.
.agents/skills/prior-auth-review-skill/SKILL.mdfrom pathlib import Path
import anthropic
client = anthropic.Anthropic()
skill = Path(".agents/skills/prior-auth-review-skill/SKILL.md").read_text()
reply = client.messages.create(
model="claude-haiku-5-5",
max_tokens=4096,
system=f"You are a helpful agent.\n\n{skill}",
messages=[{"role": "user", "content": "Hello!"}],
)This gets SKILL.md only. The skill's 6 other files are not included.
agent_config() hands your agent the skill. With no DecimalAI key it reads your project's files and sends nothing. Needs SDK 0.27 or newer.
pip install "decimalai[google-genai]"
decimalai skills add prior-auth-review-skillfrom google import genai
from google.genai import types
from decimalai.google_genai import agent_config
client = genai.Client()
# With no DECIMAL_API_KEY this reads the skills your project lists, from disk.
support = agent_config("support", fallback="You are a helpful agent.")
def lookup_order(order_id: str) -> str:
return f"Order {order_id} shipped yesterday."
# Your functions, as declarations for the model, and what answers each.
TOOLS = [{"function_declarations": [{
"name": "lookup_order",
"description": "Look up the status of an order.",
"parameters_json_schema": {"type": "object", "properties": {"order_id": {"type": "string"}},
"required": ["order_id"]},
}]}]
FUNCTIONS = {"lookup_order": lookup_order}
question = "Where is order A1001?"
with support.run(question) as run: # one user message, one run
config = types.GenerateContentConfig(
system_instruction=run.system, # your prompt, then the skill list
tools=[*TOOLS, *run.tool_params], # your functions, then load_skill
)
contents = [{"role": "user", "parts": [{"text": run.message}]}]
while True:
response = client.models.generate_content(
model="gemini-3.5-flash", contents=contents, config=config,
)
if not response.function_calls:
break
contents.append(response.candidates[0].content)
parts = []
for call in response.function_calls:
# load_skill is answered by the run; your own functions by FUNCTIONS.
# A loop of your own rather than automatic function calling, which
# raises KeyError when the model asks for a function you did not pass.
function = FUNCTIONS.get(call.name)
parts.append(run.tool_result(call) or {"function_response": {
"name": call.name, "id": call.id,
"response": {"result": function(**(call.args or {})) if function
else f"There is no function named {call.name!r}."},
}})
contents.append({"role": "user", "parts": parts})
print(response.text)The same install from Python, for a notebook or a setup script. agent_config() hands your agent the skill. With no DecimalAI key it reads your project's files and sends nothing. Needs SDK 0.27 or newer.
pip install "decimalai[google-genai]"from decimalai import skillpkg
# Writes .agents/skills and .decimal/skills.toml. Safe to run twice.
result = skillpkg.add("prior-auth-review-skill")
if result.exit_code:
raise SystemExit(result.problems)
from google import genai
from google.genai import types
from decimalai.google_genai import agent_config
client = genai.Client()
# With no DECIMAL_API_KEY this reads the skills your project lists, from disk.
support = agent_config("support", fallback="You are a helpful agent.")
def lookup_order(order_id: str) -> str:
return f"Order {order_id} shipped yesterday."
# Your functions, as declarations for the model, and what answers each.
TOOLS = [{"function_declarations": [{
"name": "lookup_order",
"description": "Look up the status of an order.",
"parameters_json_schema": {"type": "object", "properties": {"order_id": {"type": "string"}},
"required": ["order_id"]},
}]}]
FUNCTIONS = {"lookup_order": lookup_order}
question = "Where is order A1001?"
with support.run(question) as run: # one user message, one run
config = types.GenerateContentConfig(
system_instruction=run.system, # your prompt, then the skill list
tools=[*TOOLS, *run.tool_params], # your functions, then load_skill
)
contents = [{"role": "user", "parts": [{"text": run.message}]}]
while True:
response = client.models.generate_content(
model="gemini-3.5-flash", contents=contents, config=config,
)
if not response.function_calls:
break
contents.append(response.candidates[0].content)
parts = []
for call in response.function_calls:
# load_skill is answered by the run; your own functions by FUNCTIONS.
# A loop of your own rather than automatic function calling, which
# raises KeyError when the model asks for a function you did not pass.
function = FUNCTIONS.get(call.name)
parts.append(run.tool_result(call) or {"function_response": {
"name": call.name, "id": call.id,
"response": {"result": function(**(call.args or {})) if function
else f"There is no function named {call.name!r}."},
}})
contents.append({"role": "user", "parts": parts})
print(response.text)No DecimalAI package. The whole skill goes in every prompt, and nothing pins or updates it.
.agents/skills/prior-auth-review-skill/SKILL.mdfrom pathlib import Path
from google import genai
from google.genai import types
client = genai.Client()
skill = Path(".agents/skills/prior-auth-review-skill/SKILL.md").read_text()
response = client.models.generate_content(
model="gemini-3.5-flash",
contents="Hello!",
config=types.GenerateContentConfig(system_instruction=f"You are a helpful agent.\n\n{skill}"),
)This gets SKILL.md only. The skill's 6 other files are not included.
agent_config() hands your agent the skill. With no DecimalAI key it reads your project's files and sends nothing. Needs SDK 0.27 or newer.
pip install "decimalai[langchain]" langchain-openai
decimalai skills add prior-auth-review-skillfrom langchain.agents import create_agent
from decimalai.langchain import agent_config
# With no DECIMAL_API_KEY this reads the skills your project lists, from disk.
support = agent_config("support", fallback="You are a helpful agent.")
agent = create_agent(
"openai:gpt-5.4-mini",
tools=[], # your tools; the middleware adds load_skill
middleware=[support.middleware], # your prompt, the skill list and load_skill
)
result = agent.invoke({"messages": [{"role": "user", "content": "Hello!"}]})The same install from Python, for a notebook or a setup script. agent_config() hands your agent the skill. With no DecimalAI key it reads your project's files and sends nothing. Needs SDK 0.27 or newer.
pip install "decimalai[langchain]" langchain-openaifrom decimalai import skillpkg
# Writes .agents/skills and .decimal/skills.toml. Safe to run twice.
result = skillpkg.add("prior-auth-review-skill")
if result.exit_code:
raise SystemExit(result.problems)
from langchain.agents import create_agent
from decimalai.langchain import agent_config
# With no DECIMAL_API_KEY this reads the skills your project lists, from disk.
support = agent_config("support", fallback="You are a helpful agent.")
agent = create_agent(
"openai:gpt-5.4-mini",
tools=[], # your tools; the middleware adds load_skill
middleware=[support.middleware], # your prompt, the skill list and load_skill
)
result = agent.invoke({"messages": [{"role": "user", "content": "Hello!"}]})No DecimalAI package. The whole skill goes in every prompt, and nothing pins or updates it.
.agents/skills/prior-auth-review-skill/SKILL.mdfrom pathlib import Path
from langchain.agents import create_agent
skill = Path(".agents/skills/prior-auth-review-skill/SKILL.md").read_text()
agent = create_agent("openai:gpt-5.4-mini", tools=[], system_prompt=f"You are a helpful agent.\n\n{skill}")
result = agent.invoke({"messages": [{"role": "user", "content": "Hello!"}]})This gets SKILL.md only. The skill's 6 other files are not included.
CrewAI's own skill loader reads the installed folder. No DecimalAI account needed.
pip install "decimalai>=0.16" "crewai>=1.15.27"
decimalai skills add prior-auth-review-skillimport decimalai.crewai
from crewai import Agent, Crew, Task
agent = Agent(
role="Support", goal="Help the customer", backstory="A support agent.",
llm=llm, # your own CrewAI LLM
skills=decimalai.crewai.skills(), # the installed folder
tools=decimalai.crewai.skill_tools(), # reads a skill's files, runs its scripts
)
task = Task(description="Hello!", expected_output="an answer", agent=agent)
Crew(agents=[agent], tasks=[task]).kickoff()The same install from Python, for a notebook or a setup script. CrewAI's own skill loader reads the installed folder. No DecimalAI account needed.
pip install "decimalai>=0.16" "crewai>=1.15.27"from decimalai import skillpkg
# Writes .agents/skills and .decimal/skills.toml. Safe to run twice.
result = skillpkg.add("prior-auth-review-skill")
if result.exit_code:
raise SystemExit(result.problems)
import decimalai.crewai
from crewai import Agent, Crew, Task
agent = Agent(
role="Support", goal="Help the customer", backstory="A support agent.",
llm=llm, # your own CrewAI LLM
skills=decimalai.crewai.skills(), # the installed folder
tools=decimalai.crewai.skill_tools(), # reads a skill's files, runs its scripts
)
task = Task(description="Hello!", expected_output="an answer", agent=agent)
Crew(agents=[agent], tasks=[task]).kickoff()No DecimalAI package. CrewAI's own loader reads the folder, and nothing pins or updates it.
.agents/skills/prior-auth-review-skill/SKILL.mdfrom pathlib import Path
from crewai import Agent, Crew, Task
agent = Agent(
role="Support", goal="Help the customer", backstory="A support agent.",
llm=llm, # your own CrewAI LLM
skills=[Path(".agents/skills")],
)
task = Task(description="Hello!", expected_output="an answer", agent=agent)
Crew(agents=[agent], tasks=[task]).kickoff()This gets SKILL.md only. The skill's 6 other files are not included.
agent_config() hands your agent the skill. With no DecimalAI key it reads your project's files and sends nothing. Needs SDK 0.27 or newer.
pip install "decimalai[adk]"
decimalai skills add prior-auth-review-skillfrom decimalai.adk import DecimalAIPlugin, agent_config
from google.adk.agents import LlmAgent
from google.adk.apps import App
# With no DECIMAL_API_KEY this reads the skills your project lists, from disk.
support = agent_config("support", fallback="You are a helpful agent.")
agent = LlmAgent(
name="support", # ADK needs a Python identifier
model="gemini-3.5-flash",
instruction=support.instruction, # your prompt, then the skill list
tools=[*support.tools], # your tools, then load_skill
)
# DecimalAIPlugin makes each invocation of runners built from this App one trace.
app = App(name="support", root_agent=agent, plugins=[DecimalAIPlugin()])Prefer ADK's own loader? SkillToolset(skills=decimalai.adk.skills(), ...) reads the same folder. Use one or the other: a skill delivered both ways reaches the prompt twice.
The same install from Python, for a notebook or a setup script. agent_config() hands your agent the skill. With no DecimalAI key it reads your project's files and sends nothing. Needs SDK 0.27 or newer.
pip install "decimalai[adk]"from decimalai import skillpkg
# Writes .agents/skills and .decimal/skills.toml. Safe to run twice.
result = skillpkg.add("prior-auth-review-skill")
if result.exit_code:
raise SystemExit(result.problems)
from decimalai.adk import DecimalAIPlugin, agent_config
from google.adk.agents import LlmAgent
from google.adk.apps import App
# With no DECIMAL_API_KEY this reads the skills your project lists, from disk.
support = agent_config("support", fallback="You are a helpful agent.")
agent = LlmAgent(
name="support", # ADK needs a Python identifier
model="gemini-3.5-flash",
instruction=support.instruction, # your prompt, then the skill list
tools=[*support.tools], # your tools, then load_skill
)
# DecimalAIPlugin makes each invocation of runners built from this App one trace.
app = App(name="support", root_agent=agent, plugins=[DecimalAIPlugin()])Prefer ADK's own loader? SkillToolset(skills=decimalai.adk.skills(), ...) reads the same folder. Use one or the other: a skill delivered both ways reaches the prompt twice.
No DecimalAI package. The whole skill goes in every prompt, and nothing pins or updates it.
.agents/skills/prior-auth-review-skill/SKILL.mdfrom pathlib import Path
from google.adk.agents import LlmAgent
skill = Path(".agents/skills/prior-auth-review-skill/SKILL.md").read_text()
agent = LlmAgent(
name="support",
model="gemini-3.5-flash",
instruction=lambda context: f"You are a helpful agent.\n\n{skill}",
)This gets SKILL.md only. The skill's 6 other files are not included.
agent_config() hands your agent the skill. With no DecimalAI key it reads your project's files and sends nothing. Needs SDK 0.27 or newer.
pip install "decimalai[pydantic-ai]"
decimalai skills add prior-auth-review-skillfrom pydantic_ai import Agent
from decimalai.pydantic_ai import agent_config
# With no DECIMAL_API_KEY this reads the skills your project lists, from disk.
support = agent_config("support", fallback="You are a helpful agent.")
agent = Agent(
"openai:gpt-4o-mini",
name=support.name,
tools=[], # your tools; the capability adds load_skill
capabilities=[support], # your prompt, the skill list and load_skill
)
# In a notebook or async code: result = await agent.run("Hello!")
result = agent.run_sync("Hello!")On the Pydantic AI harness, decimalai.pydantic_ai_harness.skills(project) uses its own loader instead.
The same install from Python, for a notebook or a setup script. agent_config() hands your agent the skill. With no DecimalAI key it reads your project's files and sends nothing. Needs SDK 0.27 or newer.
pip install "decimalai[pydantic-ai]"from decimalai import skillpkg
# Writes .agents/skills and .decimal/skills.toml. Safe to run twice.
result = skillpkg.add("prior-auth-review-skill")
if result.exit_code:
raise SystemExit(result.problems)
from pydantic_ai import Agent
from decimalai.pydantic_ai import agent_config
# With no DECIMAL_API_KEY this reads the skills your project lists, from disk.
support = agent_config("support", fallback="You are a helpful agent.")
agent = Agent(
"openai:gpt-4o-mini",
name=support.name,
tools=[], # your tools; the capability adds load_skill
capabilities=[support], # your prompt, the skill list and load_skill
)
# In a notebook or async code: result = await agent.run("Hello!")
result = agent.run_sync("Hello!")On the Pydantic AI harness, decimalai.pydantic_ai_harness.skills(project) uses its own loader instead.
No DecimalAI package. The whole skill goes in every prompt, and nothing pins or updates it.
.agents/skills/prior-auth-review-skill/SKILL.mdfrom pathlib import Path
from pydantic_ai import Agent
skill = Path(".agents/skills/prior-auth-review-skill/SKILL.md").read_text()
agent = Agent("openai:gpt-4o-mini", instructions=f"You are a helpful agent.\n\n{skill}")
# In a notebook or async code: result = await agent.run("Hello!")
result = agent.run_sync("Hello!")This gets SKILL.md only. The skill's 6 other files are not included.
Deep Agents' own skill loader reads the installed folder. No DecimalAI account needed.
pip install "decimalai>=0.16" deepagents
decimalai skills add prior-auth-review-skillimport decimalai.deepagents
from deepagents import create_deep_agent
agent = create_deep_agent(model=model, **decimalai.deepagents.skills())
agent.invoke({"messages": [{"role": "user", "content": "Hello!"}]})The default backend reads files but has no shell. To run a skill's scripts, pass skills(backend=LocalShellBackend(...)).
The same install from Python, for a notebook or a setup script. Deep Agents' own skill loader reads the installed folder. No DecimalAI account needed.
pip install "decimalai>=0.16" deepagentsfrom decimalai import skillpkg
# Writes .agents/skills and .decimal/skills.toml. Safe to run twice.
result = skillpkg.add("prior-auth-review-skill")
if result.exit_code:
raise SystemExit(result.problems)
import decimalai.deepagents
from deepagents import create_deep_agent
agent = create_deep_agent(model=model, **decimalai.deepagents.skills())
agent.invoke({"messages": [{"role": "user", "content": "Hello!"}]})The default backend reads files but has no shell. To run a skill's scripts, pass skills(backend=LocalShellBackend(...)).
No DecimalAI package. The whole skill goes in every prompt, and nothing pins or updates it.
.agents/skills/prior-auth-review-skill/SKILL.mdfrom pathlib import Path
from deepagents import create_deep_agent
skill = Path(".agents/skills/prior-auth-review-skill/SKILL.md").read_text()
agent = create_deep_agent(model=model, system_prompt=f"You are a helpful agent.\n\n{skill}")
agent.invoke({"messages": [{"role": "user", "content": "Hello!"}]})This gets SKILL.md only. The skill's 6 other files are not included.
Its own skill loader reads the installed folder. No DecimalAI account needed.
pip install "decimalai>=0.16" agent-framework
decimalai skills add prior-auth-review-skillimport asyncio
from agent_framework import Agent
from decimalai.agent_framework import skills
agent = Agent(client=client, instructions="You are a helpful agent.", context_providers=[skills()])
asyncio.run(agent.run("Hello!"))It caches skills by default, so restart the process after decimalai skills update.
The same install from Python, for a notebook or a setup script. Its own skill loader reads the installed folder. No DecimalAI account needed.
pip install "decimalai>=0.16" agent-frameworkfrom decimalai import skillpkg
# Writes .agents/skills and .decimal/skills.toml. Safe to run twice.
result = skillpkg.add("prior-auth-review-skill")
if result.exit_code:
raise SystemExit(result.problems)
import asyncio
from agent_framework import Agent
from decimalai.agent_framework import skills
agent = Agent(client=client, instructions="You are a helpful agent.", context_providers=[skills()])
asyncio.run(agent.run("Hello!"))It caches skills by default, so restart the process after decimalai skills update.
No DecimalAI package. The whole skill goes in every prompt, and nothing pins or updates it.
.agents/skills/prior-auth-review-skill/SKILL.mdimport asyncio
from pathlib import Path
from agent_framework import Agent
skill = Path(".agents/skills/prior-auth-review-skill/SKILL.md").read_text()
agent = Agent(client=client, instructions=f"You are a helpful agent.\n\n{skill}")
asyncio.run(agent.run("Hello!"))This gets SKILL.md only. The skill's 6 other files are not included.
Strands' own skill loader reads the installed folder. No DecimalAI account needed.
pip install "decimalai>=0.16" strands-agents
decimalai skills add prior-auth-review-skillfrom decimalai.strands import skills
from strands import Agent
from strands.vended_tools import file_editor, shell
agent = Agent(
model=model, # always pass one: the default is Amazon Bedrock
system_prompt="You are a helpful agent.",
tools=[file_editor, shell],
plugins=[skills()],
)
agent("Hello!")Strands loads an agent's skills once, so build the agent again after decimalai skills update.
The same install from Python, for a notebook or a setup script. Strands' own skill loader reads the installed folder. No DecimalAI account needed.
pip install "decimalai>=0.16" strands-agentsfrom decimalai import skillpkg
# Writes .agents/skills and .decimal/skills.toml. Safe to run twice.
result = skillpkg.add("prior-auth-review-skill")
if result.exit_code:
raise SystemExit(result.problems)
from decimalai.strands import skills
from strands import Agent
from strands.vended_tools import file_editor, shell
agent = Agent(
model=model, # always pass one: the default is Amazon Bedrock
system_prompt="You are a helpful agent.",
tools=[file_editor, shell],
plugins=[skills()],
)
agent("Hello!")Strands loads an agent's skills once, so build the agent again after decimalai skills update.
No DecimalAI package. The whole skill goes in every prompt, and nothing pins or updates it.
.agents/skills/prior-auth-review-skill/SKILL.mdfrom pathlib import Path
from strands import Agent
skill = Path(".agents/skills/prior-auth-review-skill/SKILL.md").read_text()
agent = Agent(model=model, system_prompt=f"You are a helpful agent.\n\n{skill}")
agent("Hello!")This gets SKILL.md only. The skill's 6 other files are not included.
Adds every file the skill has, pinned so you can update it. Cursor, Copilot, Cline and Warp read this folder by themselves.
pip install "decimalai>=0.15"
decimalai skills add prior-auth-review-skillNo Python or account. Cursor, Copilot, Cline and Warp read this folder by themselves.
curl -fsSL --create-dirs -o .agents/skills/prior-auth-review-skill/SKILL.md https://app.decimal.ai/s/prior-auth-review-skill/SKILL.md.agents/skills/prior-auth-review-skill/SKILL.mdThis gets SKILL.md only. The skill's 6 other files are not included.
Give its text to your model as instructions. No account or package needed.
This gets SKILL.md only. The skill's 6 other files are not included.
Raw files: /s/prior-auth-review-skill/SKILL.md · /s/prior-auth-review-skill.json
Fetch the file and give its text to your model as instructions. No account or package needed.
curl -fsSL https://app.decimal.ai/s/prior-auth-review-skill/SKILL.mdcurl -fsSL https://app.decimal.ai/s/prior-auth-review-skill.jsonThis gets SKILL.md only. The skill's 6 other files are not included.
You don't need a DecimalAI account.
Saved prompts and skills, pinned versions, and traces of this skill in your runs. DecimalAI does not run your agent.
Claude Code reads files from your project, so DecimalAI config does not apply there.
On Claude Agent SDK: save the skill to an agent here, set DECIMAL_API_KEY, and the same code uses it with no command to run. Changes you save reach the next run with no redeploy.
On OpenAI Agents: save the skill to an agent here, set DECIMAL_API_KEY, and the same code uses it with no command to run. Changes you save reach the next run with no redeploy.
On OpenAI SDK: save the skill to an agent here, set DECIMAL_API_KEY, and the same code uses it with no command to run. Changes you save reach the next run with no redeploy.
On Anthropic: save the skill to an agent here, set DECIMAL_API_KEY, and the same code uses it with no command to run. Changes you save reach the next run with no redeploy.
On Gemini API: save the skill to an agent here, set DECIMAL_API_KEY, and the same code uses it with no command to run. Changes you save reach the next run with no redeploy.
On LangChain: save the skill to an agent here, set DECIMAL_API_KEY, and the same code uses it with no command to run. Changes you save reach the next run with no redeploy.
On CrewAI: set DECIMAL_API_KEY and add decimalai.init(crewai=True) to record runs and skill use. The skill version stays in your repo.
On Google ADK: save the skill to an agent here, set DECIMAL_API_KEY, and the same code uses it with no command to run. Changes you save reach the next run with no redeploy.
On Pydantic AI: save the skill to an agent here, set DECIMAL_API_KEY, and the same code uses it with no command to run. Changes you save reach the next run with no redeploy.
On Deep Agents: set DECIMAL_API_KEY and add decimalai.init(langchain=True) to record runs and skill use. The skill version stays in your repo.
On Microsoft Agent Framework: set DECIMAL_API_KEY and add decimalai.init(otel=True, agent_name="support") to record runs and skill use. The skill version stays in your repo.
On Strands: set DECIMAL_API_KEY and add decimalai.init(otel=True, agent_name="support") to record runs and skill use. The skill version stays in your repo.
Editors read files from your project, so DecimalAI config does not apply there.
Anywhere else: record a use with decimalai.log_skill_activation() inside a trace.
This skill automates the payer review process for prior authorization (PA) requests. It processes clinical documentation, validates medical necessity against coverage policies, and generates authorization decisions with supporting rationale.
Target Users: Health insurance payer organizations (Medicare Advantage, Commercial, Medicaid MCOs)
Value Proposition: Reduce PA review time from 30-60 minutes to under 5 minutes. Enable auto-approval for 40-60% of clear-cut cases.
This skill uses a simplified 2-subskill workflow:
Subskill 1: Intake & Assessment
↓ (validates data, extracts clinical info, assesses medical necessity)
Subskill 2: Decision & Notification
↓ (generates auth decision with provider notification)
ONLY REVIEW THE SUBSKILL FILES WHEN THEY ARE NEEDED, DONT PRE-READ THE WHOLE SKILL ON BOOTUP
Output: Authorization Decision Package
waypoints/
├── assessment.json # Subskill 1 output (consolidated)
└── decision.json # Subskill 2 output (final decision)
This skill requires 3 healthcare MCP connectors:
For detailed tool usage, parameters, and CMS web resources, see references/01-intake-assessment.md.
During execution, the skill displays notifications before and after each MCP connector call:
See README.md File Organization section for complete directory structure and file descriptions.
This skill enforces a decision policy rubric that determines the outcome when validation checks fail. The policy balances regulatory compliance, patient safety, and operational efficiency.
See references/rubric.md for:
Quick Summary:
To customize decision logic for your organization, edit references/rubric.md.
Simply invoke the skill:
Use the prior-auth-review-skill
The skill will:
When this skill is invoked:
Before proceeding, verify required MCP connectors are available.
Check for the following MCP connectors:
If any MCP connectors are not configured:
Display error and exit:
"Missing required MCP connectors: [list missing connectors]. This skill requires all three healthcare MCP connectors to function. Please configure the missing connectors and try again. See README Prerequisites for setup instructions."
Exit skill.
If all MCP connectors are available: Proceed silently to next step.
Prompt the user to provide input files or use sample data.
Display the following prompt:
Prior Authorization Review requires the following input files:
REQUIRED FILES:
1. Prior Authorization Request Form (PDF) - Contains member info, requested service, provider details
2. Clinical Notes / H&P (PDF) - History and physical examination documentation
3. Diagnostic Imaging Reports (PDF) - CT, MRI, X-ray, or other imaging results
4. Laboratory Results (PDF) - Relevant lab work supporting medical necessity
5. Additional Supporting Documentation (PDF, optional) - PFTs, specialist consults, etc.
OPTIONS:
(A) Upload your own files - Provide paths to each required document
(B) Use sample files - Load pre-configured sample case (CT-guided lung biopsy)
Enter your choice (A/B): ___
If user selects (A) - Upload own files:
using_sample_files = FalseIf user selects (B) - Use sample files:
assets/sample/:
01_Prior_Auth_Request_Form.pdf02_Clinical_Notes_H_and_P.pdf03_CT_Chest_Report.pdf04_Laboratory_Results.pdf05_Pulmonary_Function_Tests.pdfusing_sample_files = True1234567890) and sample member ID (1EG4-TE5-MK72). This combination triggers demo mode, which skips the NPI MCP lookup for this specific provider only. All other MCP calls (ICD-10 validation, CMS Coverage policy search) execute normally.Check if waypoints/assessment.json exists:
If exists and incomplete:
Found incomplete PA request: [Request ID]
Resume this request? (Y/N): ___
If does not exist:
Execute: Read and follow references/01-intake-assessment.md
What it does:
Output: waypoints/assessment.json (consolidated)
Duration: 3-4 minutes
Ask user:
Ready to proceed to Subskill 2? (Y/N): ___
Execute: Read and follow references/02-decision-notification.md
What it does:
Output:
waypoints/decision.json (final decision)outputs/notification_letter.txt (provider notification)Duration: 1-2 minutes
Display a concise completion message with:
Offer user options to:
Missing MCP Servers: If required MCP connectors not available, display error listing missing connectors and Removefully.
Missing Subskill Prerequisites:
If Subskill 2 invoked without waypoints/assessment.json, notify user to complete Subskill 1 first.
File Write Errors: If unable to write waypoint files, display error with file path, check permissions/disk space, and offer retry.
Data Quality Issues: If clinical data extraction confidence <60%, warn user with confidence score and low-confidence areas. Offer options to: continue, request additional documentation, or abort.
For all errors, provide clear, actionable messages and user options for resolution.
Before completing workflow, verify:
Always read subskill files: Don't execute from memory. Read the actual subskill markdown file and follow instructions.
Auto-detect resume: Check for existing waypoints/assessment.json on startup. If found and status is not "assessment_complete", offer to resume.
Parallel MCP execution: In Subskill 1, execute NPI, ICD-10, and Coverage MCP calls in parallel for optimal performance.
Preserve user data: Never overwrite waypoint files without asking confirmation or backing up.
Clear progress indicators: Show users what's happening during operations (MCP queries, data analysis).
Graceful degradation: If optional data missing, continue with available data and note limitations.
Validate outputs: Check that waypoint files have expected structure before proceeding.
CRITICAL: Every time you invoke an MCP tool or WebFetch for code validation:
BEFORE the call:
AFTER receiving results:
If there's an issue:
Benefits:
Requirements:
waypoints/assessment.json (consolidated)waypoints/decision.json and notification letterSkills that do similar work, with their headline benchmark lift.
From the same source and nearby in the catalogue.