Criteria Evidence (Microsoft)

---
name: prior-authorization-criteria-evidence
description: Reproduce the deterministic Prior Authorization Agent — criteria evidence workflow from packaged synthetic evidence.
metadata:
  origin: Microsoft
---
<!-- bic:source=blank -->
# Prior Authorization Agent — criteria evidence

## Locked persona prompt

`Show the synthetic criteria checklist for SYN-AUTH-001 without deciding medical necessity.`

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

`# Criteria-to-Evidence Crosswalk`; exact fictional policy title/date, checklist disclaimer, and all reviewer checks.

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.