prior-authorization-letter
Write a persuasive prior-authorization / medical-necessity letter to an insurer. Use when asked to write a prior authorization letter, a letter of medical necessity, or to appeal a denied treatment/medication/procedure. Produces a structured letter — patient and request, clinical justification tied to guidelines, treatments tried, and the specific approval asked for — ready for clinician review and signature.
npx skills add mohitagw15856/pm-claude-skills --skill prior-authorization-letter --agent claude-code
Same command for any agent — swap --agent for codex, cursor, copilot.
Weekly change comes from our own snapshots, not the repository page — it measures attention, not adoption.
# Prior Authorization Letter Skill A prior-auth or medical-necessity letter succeeds when it connects *this patient's* clinical facts to the insurer's coverage criteria — clearly, with evidence, and with the exact request spelled out. This skill structures that argument so the reviewer can approve it quickly, and so an appeal addresses the stated denial reason head-on. > **Clinical-safety note:** this is a documentation aid, **not medical advice**. The clinical justification must > reflect the treating clinician's judgement and the patient's actual record; the clinician must review, verify, > and sign before submission. Do not invent diagnoses, codes, history, or evidence. ## Working from a brief Given the treatment and a diagnosis, **produce the full letter anyway** — structure the argument and insert the standard elements, marking patient-specific facts (codes, dates, prior treatments) to be confirmed rather than inventing them. For an appeal, infer and directly rebut the likely denial reason if it's stated. Never fabricate clinical history or citations. ## Required Inputs Ask for these only if they aren't already provided (else mark to confirm): - **Patient & policy** — patient
- Working from a brief
- Required Inputs
- Output Format
- Letter of Medical Necessity / Prior Authorization
- Quality Checks
- Anti-Patterns
- Based On
What does the prior-authorization-letter skill do?
Write a persuasive prior-authorization / medical-necessity letter to an insurer. Use when asked to write a prior authorization letter, a letter of medical necessity, or to appeal a denied treatment/medication/procedure. Produces a structured letter — patient and request, clinical justification tied to guidelines, treatments tried, and the specific approval asked for — ready for clinician review and signature.
How do I install it?
Run `npx skills add mohitagw15856/pm-claude-skills --skill prior-authorization-letter --agent claude-code` — it drops the skill into your project so the agent can pick it up. Swap the --agent value for codex, cursor or copilot if you use one of those.
Where does this skill come from?
From mohitagw15856/pm-claude-skills, a repository with 1,255 stars. We read it straight from the repository tree rather than a submitted listing, so what you see here is what is actually published.
Is a popular skill a good skill?
Not necessarily. Stars measure attention, not adoption — a repository can trend for a week and be abandoned. That is why we show the weekly change from our own snapshots next to the total, instead of a single flattering number.