Stanford Med · Unit 5B Medicine·Day shift·Mon · 9:42 AM

Prior auth drafter

LIVE · Medication panel · model claude-sonnet-4-6

LIVEHITL: requiredMedication panel · model claude-sonnet-4-6

Prior auth drafter

For a chosen medication, drafts a payer-ready prior authorization packet: drug + dose, clinical justification grounded in the patient's primary dx + labs, attempted alternatives, urgency (STANDARD/EXPEDITED), supporting ICD-10 codes, and risk-if-delayed. Output is HITL-gated — only a licensed reviewer can submit to CoverMyMeds.

Total calls

Approved

Pending review

Total spend

$0.0000

0ms avg

Inputs

· Patient
· MedicationItem
· hospitalId

Outputs

· drugRequested
· clinicalJustification
· attemptedAlternatives[]
· urgency
· expectedDecisionWindow
· supportingDiagnosisCodes[]
· citations[]
· riskIfDelayed

Output schema

PriorAuthDraftSchema

Governing rule

CMS-0057-F (PA streamlining) + plan-specific formulary; submission requires reviewer click.

Source files

· src/lib/ai/agents/prior-auth-drafter.ts
· src/app/actions/run-prior-auth-drafter.ts

Recent inferences

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Demo data · no PHI · mocked Epic + payer endpoints