Automate payer review of prior authorization (PA) requests. An agent skill from FreedomIntelligence/OpenClaw-Medical-Skills.

No licenceAuto-check passedBackend & APIs

Install Prior Auth Review Skill

skills CLI
$ npx skills add FreedomIntelligence/OpenClaw-Medical-Skills --skill prior-auth-review-skill -a claude-code

Project install by default; add -g for ~/.claude/skills/.

GitHub CLI
$ gh skill install FreedomIntelligence/OpenClaw-Medical-Skills prior-auth-review-skill --agent claude-code

Project scope by default; add --scope user for a personal install. Needs GitHub CLI 2.90.0 or later (public preview).

Manual copy
$ git clone --depth 1 https://github.com/FreedomIntelligence/OpenClaw-Medical-Skills.git skills-src && mkdir -p .claude/skills && cp -r skills-src/skills/prior-auth-review-skill .claude/skills/prior-auth-review-skill && rm -rf skills-src

Use ~/.claude/skills/ instead of .claude/skills for a personal install. The folder must contain SKILL.md.

Claude Code skills documentation · loads skills from .claude/skills/

Facts

Skill name
prior-auth-review-skill
GitHub stars
3.1k
Used in
1 other repo
Token cost
~3.3k tokens
SKILL.md length
1,388 words
Files
13 (incl. references, assets)
Skills in repo
279
Repo updated
First seen
Licence
None found

At a glance

Automate payer review of prior authorization (PA) requests. An agent skill from FreedomIntelligence/OpenClaw-Medical-Skills.

  • Works in 3 steps: CMS Coverage MCP Connector - Medicare… → ICD-10 MCP Connector - Diagnosis code… → NPI MCP Connector - Healthcare provider…
  • Tasks that involve Authorization and RBAC
  • SKILL.md covers Overview, Architecture, Prerequisites and Decision Policy, plus 6 more sections
  • Instructions only: no scripts, shell commands, URLs or credentials in SKILL.md

What it does

Prior Auth Review Skill is an agent skill from FreedomIntelligence/OpenClaw-Medical-Skills. Automate payer review of prior authorization (PA) requests. This skill should be used when users say "Review this PA request", "Process prior authorization for [procedure]", "Assess medical necessity", "Generate PA decision", or when processing clinical documentation for coverage policy validation and authorization decisions.

Its SKILL.md is about 3.3k tokens, which your agent loads only when the skill is triggered. The skill folder holds 15 other files, including reference files and assets (for example `README.md`, `references/01-intake-assessment.md` and `references/02-decision-notification.md`).

It sits in Backend & APIs, covering Authorization and RBAC. It works with Model Context Protocol. The repository describes itself as: The largest open-source medical AI skills library for OpenClaw🦞.

When your agent uses it

  • Tasks that involve Authorization and RBAC

Example prompts

  • “Review this PA request”
  • “Process prior authorization for [procedure]”
  • “Assess medical necessity”
  • “/prior-auth-review-skill”

Workflow steps

3 steps, taken from the first numbered list in SKILL.md.

  1. CMS Coverage MCP Connector - Medicare coverage policies (NCDs, LCDs)
  2. ICD-10 MCP Connector - Diagnosis code validation and lookup
  3. NPI MCP Connector - Healthcare provider verification via NPPES

What it can do on your machine

Read from SKILL.md and the folder at commit b1f9b6e. It shows what the files ask for, not the result of running them.

  • Tool permissions

    Pre-approves nothing: there is no allowed-tools line, so your agent's usual permission prompts apply.

    From allowed-tools in the SKILL.md frontmatter.

  • Runs code

    No scripts in the folder and no shell commands in SKILL.md.

    From the folder's file list and the shell code blocks in SKILL.md.

  • Network

    No URLs in SKILL.md.

    From URLs in SKILL.md, links to its own repository left out.

  • Credentials

    Names no API keys, tokens, secrets or passwords.

    From names ending in _API_KEY, _TOKEN, _SECRET, _KEY or _PASSWORD in SKILL.md.

Context cost

Prior Auth Review Skill loads about 3.3k tokens when it runs, and up to ~13k if it reads all its reference files. Until then it costs about 88 tokens; SKILL.md has 1,388 words of instructions outside code blocks.

Always · name and description, kept in context so the agent knows when to use it
~88
When it runs · the whole SKILL.md, loaded when a task matches
~3.3k
With references · SKILL.md plus every file in references/, read only if the agent opens them
~13k

Estimates: characters ÷ 4, the usual rule of thumb; real counts depend on the model's tokenizer. Scripts and assets cost tokens only if the agent reads them.

Safety

Auto-check passed

The automated check found no risky patterns in SKILL.md.

Automated static check — not a guarantee. Review scripts before installing. It scans the text of SKILL.md for risky patterns (piping downloads into a shell, reading credential files, hidden Unicode, destructive commands); files beside SKILL.md are not scanned.

SKILL.md

Without a licence we can't republish the file, so here is its outline and opening line. It has 1,388 words (~3,254 tokens).

“This skill automates the payer review process for prior authorization (PA) requests. It processes clinical documentation, validates medical necessity against coverage policies, and generates authorization decisions with supporting rationale.”

— opening of SKILL.md by FreedomIntelligence
name
prior-auth-review-skill

Read the full SKILL.md on GitHub

Files

SKILL.md and 12 other files (references, assets) in skills/prior-auth-review-skill of FreedomIntelligence/OpenClaw-Medical-Skills.

  • SKILL.md
  • README.md
  • assets/Medicare_PA_Approval_Letter.pdf
  • assets/sample/01_Prior_Auth_Request_Form.pdf
  • assets/sample/02_Clinical_Notes_H_and_P.pdf
  • assets/sample/03_CT_Chest_Report.pdf
  • assets/sample/04_Laboratory_Results.pdf
  • assets/sample/05_Pulmonary_Function_Tests.pdf
  • references/01-intake-assessment.md
  • references/02-decision-notification.md
  • references/notification-letter-templates.md
  • references/rubric.md
  • references/tools.md

Open the folder on GitHubat commit b1f9b6e

Used in 1 other repository

We found 1 copy of this SKILL.md (exact, near-identical or edited) in other folders, from 1 other GitHub owner. This page covers the copy in FreedomIntelligence/OpenClaw-Medical-Skills, which our catalogue first saw on October 7, 2026.

Compare with similar skills

Prior Auth Review Skill next to the 5 skills that share the most tags, products or categories with it. Stars are the repository's; “used in” counts other GitHub owners with a copy.

Prior Auth Review Skill compared with similar skills
SkillStarsUsed inTokensAuto-checkLicenceRepo updated
Prior Auth Review Skill this skillFreedomIntelligence/OpenClaw-Medical-Skills3.1k1 repos~3.3kAutomated safety check: PassNone
Tenuo Agent Authorizationtenuo-ai/tenuo103—~2.3kAutomated safety check: PassApache-2.0
Frontmcp Auth UIagentfront/frontmcp146—~3.7kAutomated safety check: PassApache-2.0
Frontmcp Authoritiesagentfront/frontmcp146—~7.1kAutomated safety check: PassApache-2.0
Workosusenotra/notra256—~6.2kAutomated safety check: PassAGPL-3.0
Manage Dashboard WidgetsPostHog/posthog40k—~2.3kAutomated safety check: PassCustom licence

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Categories

Questions about Prior Auth Review Skill

What does Prior Auth Review Skill do?

Automate payer review of prior authorization (PA) requests. An agent skill from FreedomIntelligence/OpenClaw-Medical-Skills. Prior Auth Review Skill is an agent skill from FreedomIntelligence/OpenClaw-Medical-Skills. Automate payer review of prior authorization (PA) requests.

When should I use Prior Auth Review Skill?

Prior Auth Review Skill fits situations like: tasks that involve Authorization and RBAC.

How do I install Prior Auth Review Skill in Claude Code?

Run `npx skills add FreedomIntelligence/OpenClaw-Medical-Skills --skill prior-auth-review-skill -a claude-code`. Or copy the skill folder (skills/prior-auth-review-skill in FreedomIntelligence/OpenClaw-Medical-Skills) into .claude/skills/prior-auth-review-skill in your project. Claude Code loads it when a task matches its description.

How do I install Prior Auth Review Skill in Codex?

Run `npx skills add FreedomIntelligence/OpenClaw-Medical-Skills --skill prior-auth-review-skill -a codex`. Or copy the skill folder (skills/prior-auth-review-skill in FreedomIntelligence/OpenClaw-Medical-Skills) into .agents/skills/prior-auth-review-skill in your project. Codex loads it when a task matches its description.

Can I use Prior Auth Review Skill in Cursor, Gemini CLI or GitHub Copilot?

Cursor, Gemini CLI, GitHub Copilot and OpenCode also load SKILL.md folders. With the skills CLI, run `npx skills add FreedomIntelligence/OpenClaw-Medical-Skills --skill prior-auth-review-skill -a cursor` (or -a gemini-cli, github-copilot or opencode for the others). To copy it by hand, put the folder in .cursor/skills/prior-auth-review-skill, .gemini/skills/prior-auth-review-skill, .github/skills/prior-auth-review-skill and .opencode/skills/prior-auth-review-skill in your project.

What does Prior Auth Review Skill need to run?

SKILL.md names no scripts, command-line tools or credentials: Prior Auth Review Skill is instructions for the agent only.

Does Prior Auth Review Skill access the network?

SKILL.md contains no URLs. Any network use would come from the scripts or tools the agent runs. This is read from the text; nothing was executed.

Is Prior Auth Review Skill safe to install?

Our automated static check of SKILL.md found no risky patterns, such as piping downloads into a shell, reading credential files or hidden Unicode. It is not a guarantee. Review the folder before installing.

What licence does Prior Auth Review Skill use?

No licence was found for Prior Auth Review Skill or its repository. Without one, default copyright applies: ask the author before reusing or redistributing it.

How many tokens does Prior Auth Review Skill use?

About 3.3k tokens (SKILL.md is roughly 13k characters). Agents keep only the skill's name and description in context until a task matches; then they load SKILL.md in full. Its references folder adds about 9.3k tokens, read only when the agent opens those files.

What are the alternatives to Prior Auth Review Skill?

Skills that share tags, products or a category with Prior Auth Review Skill: Tenuo Agent Authorization (tenuo-ai/tenuo, 103 stars), Frontmcp Auth UI (agentfront/frontmcp, 146 stars), Frontmcp Authorities (agentfront/frontmcp, 146 stars) and Workos (usenotra/notra, 256 stars). The comparison table on this page puts their stars, adoption, token cost, safety result and licence side by side.

Who maintains Prior Auth Review Skill?

FreedomIntelligence (a GitHub organization) maintains it in FreedomIntelligence/OpenClaw-Medical-Skills, which has 3,053 GitHub stars. The repository holds 279 skills in this directory. The repository was last updated on July 21, 2026.

Source: FreedomIntelligence/OpenClaw-Medical-Skills on GitHub. Facts on this page come from the repository at the commit we read; the author's words are quoted as theirs.