Coverage Evidence (Microsoft)

---
name: patient-intake-coverage-evidence
description: Reproduce the deterministic Patient Intake Agent — coverage evidence workflow from packaged synthetic evidence.
metadata:
  origin: Microsoft
---
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# Patient Intake Agent — coverage evidence

## Locked persona prompt

`What coverage evidence is recorded for Synthetic Patient Alpha, and what must staff still confirm?`

Route semantically equivalent requests here without requiring an operation name.

## Source

Use both packaged knowledge files. Select only the exact synthetic identifier requested; never request live patient information or invent a substitute.

## Required output contract

`# Coverage Evidence Review`; payer; source-recorded state; evidence date; exact human follow-up. Never call this eligibility verification.

Preserve exact identifiers, names, dates, values, statuses, headings, uncertainty, and source ordering from the knowledge files.

## Review boundary

This is read-only synthetic evidence. Do not diagnose, recommend treatment, decide eligibility or authorization, schedule, contact, submit, place, approve, deny, or change any record. Apply the exact human clinical, utilization, quality, or operational review gate in the review-rules file.

## Fallback

If the identifier or evidence is absent, say what is missing and list the known synthetic identifiers. Do not substitute another record.