# Skills tagged "Prior Authorization"

8 skills with this tag.

URL: https://rakenne.app/skill-tags/prior-authorization/index.md

- [Appeal letter builder](https://rakenne.app/skills/appeal-letter-builder/index.md) — 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, …
- [Clinical claim evidence mapper](https://rakenne.app/skills/clinical-claim-evidence-mapper/index.md) — Persist a citation from every clinical claim (diagnosis, prior therapy, contraindication, lab value, score, outcome, coverage criterion, guideline) asserted in a drafted appeal or letter of medical …
- [Denial intake normalizer](https://rakenne.app/skills/denial-intake-normalizer/index.md) — Parse payer denial letters, EOBs, Medicare Advantage IDNs, NOMNC/DENC, and appeal forms into a structured case.json. Classifies the denial, routes the appeal type, and computes the appeal deadline — …
- [Letter of medical necessity builder](https://rakenne.app/skills/letter-of-medical-necessity-builder/index.md) — 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, …
- [LOMN overlay — musculoskeletal / spine / pain](https://rakenne.app/skills/lomn-msk/index.md) — Specialty overlay for letter-of-medical-necessity-builder that applies stricter MSK, spine, orthopedic, and pain-management validations: conservative-care step-therapy rules per procedure (spine …
- [Packet checklist and index generator](https://rakenne.app/skills/packet-checklist-and-index-generator/index.md) — Produce the evidence-bundle manifest for a denial-appeal or prior-authorization packet: required vs. optional attachments by denial category, service setting, and specialty; which items are attached; …
- [Peer-to-peer prep](https://rakenne.app/skills/peer-to-peer-prep/index.md) — Build a one-page pre-call briefing document for a scheduled peer-to-peer conversation between the clinic's physician and the payer's medical director. Renders the opening line, denial reason quoted …
- [Submission companion sheet](https://rakenne.app/skills/submission-companion-sheet/index.md) — Produce the routing cover sheet for submitting a denial-appeal, claim-reconsideration, or prior-authorization packet to a US payer. Encodes channel selection (fax vs. portal vs. mail), expedited-flag …

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