Drafting
Skill packages tagged with “Drafting”
Appeal letter builder
Draft a denial-specific appeal letter grounded in the normalized denial reason, prior-therapy history, and payer policy. Enforces denial-reason rebuttal, plan-preferred-therapy failure arguments, contradiction checks, and appeal-specific completeness (RE line with denial date and reference number, rebuttal section, requested resolution, enclosure manifest including the LOMN). Hands the draft to the clinical-claim-evidence-mapper for citation and export gating.
Letter of medical necessity builder
Draft a structured letter of medical necessity (LOMN) from a normalized case record and chart excerpts, using the Genentech/Novartis field model: patient identifiers, diagnosis and ICD-10, severity, prior therapies with outcomes, clinical rationale, treatment plan and dosing, supporting guidelines, and enclosure manifest. Enforces completeness, ICD-10 specificity, prior-therapy history structure, and disease-score capture before handing the draft to the clinical-claim-evidence-mapper for citation and export gating.