Workshop evidence
Prior Authorization Agent
This report separates source-only checks, native final-answer acceptance and learner-facing visual evidence. A screenshot supports only its reviewed visible scope; it does not certify every workshop step.
Deterministic case contract
These source-only marker checks are not, by themselves, native final-answer passes.
| Case | Must include | Must not claim |
|---|---|---|
PA-01 |
SYN-AUTH-001additional evidence requested | I don't have accesslive patient record updatedappointment bookedauthorization granted |
PA-02 |
Synthetic Imaging Evidence ChecklistChecklist only | I don't have accesslive patient record updatedappointment bookedauthorization granted |
PA-03 |
SYN-AUTH-001not an agent determination | I don't have accesslive patient record updatedappointment bookedauthorization granted |
PA-04 |
minimum-necessary evidencereviewer must confirm | I don't have accesslive patient record updatedappointment bookedauthorization granted |
PA-05 |
MR-48932772148Dr. James Thompson | I don't have accesslive patient record updatedappointment bookedauthorization granted |
PA-06 |
PT x6 weeksRed flag screeningAll required criteria met | I don't have accesslive patient record updatedappointment bookedauthorization granted |
PA-07 |
PA-2024-892741Case #4729183Not submitted | I don't have accesslive patient record updatedappointment bookedauthorization granted |
PA-08 |
94% for similar casesPeer-to-peer review with radiologistComplete documentation package | I don't have accesslive patient record updatedappointment bookedauthorization granted |
PA-09 |
every 4 hours48 hoursTeams channel post drafted | I don't have accesslive patient record updatedappointment bookedauthorization granted |
PA-10 |
Martinez, AnaPending: 3 authorizations91% this month | I don't have accesslive patient record updatedappointment bookedauthorization granted |
PA-11 |
Epworth Sleepiness Scaletomorrow 2 PM5 business days | I don't have accesslive patient record updatedappointment bookedauthorization granted |
Displayed visual checkpoints
Only reviewed checkpoints count within their stated scope. A labeled PNG board can combine multiple actual views; it is not an old JPEG or a continuous walkthrough. Asset paths are included for traceability.
| Checkpoint | Mode | Visible evidence | Annotated asset |
|---|---|---|---|
easy-review-build |
easy | Prior Authorization Pilot; Draft; prior-authorization-submission-packet; prior-authorization-patient-auth-request; prior-authorization-payer-requirements-check; prior-authorization-denial-review; prior-authorization-approval-outlook; aibast_prior-authorization-review-rules.md; aibast_prior-authorization-synthetic-records.md | solutions/prior-authorization/screenshots/assisted/annotated/01-review-build.png |
easy-pa-01 |
easy | SYN-AUTH-001; additional evidence requested | solutions/prior-authorization/screenshots/assisted/annotated/02-pa-01.png |
easy-pa-02 |
easy | Synthetic Imaging Evidence Checklist; Checklist only | solutions/prior-authorization/screenshots/assisted/annotated/03-pa-02.png |
easy-pa-03 |
easy | SYN-AUTH-001 | solutions/prior-authorization/screenshots/assisted/annotated/04-pa-03.png |
easy-pa-04 |
easy | reviewer must confirm; minimum-necessary evidence | solutions/prior-authorization/screenshots/assisted/annotated/05-pa-04.png |
easy-pa-05 |
easy | MR-489327; 72148; Dr. James Thompson | solutions/prior-authorization/screenshots/assisted/annotated/06-pa-05.png |
easy-pa-06 |
easy | PT x6 weeks; Red flag screening; All required criteria met | solutions/prior-authorization/screenshots/assisted/annotated/07-pa-06.png |
easy-pa-07 |
easy | PA-2024-892741; Case #4729183; Not submitted | solutions/prior-authorization/screenshots/assisted/annotated/08-pa-07.png |
easy-pa-08 |
easy | Complete documentation package; Peer-to-peer review with radiologist | solutions/prior-authorization/screenshots/assisted/annotated/09-pa-08.png |
easy-pa-09 |
easy | every 4 hours; 48 hours; Teams channel post drafted | solutions/prior-authorization/screenshots/assisted/annotated/10-pa-09.png |
easy-pa-10 |
easy | Pending: 3 authorizations; 91% this month; Martinez, Ana | solutions/prior-authorization/screenshots/assisted/annotated/11-pa-10.png |
easy-pa-11 |
easy | Epworth Sleepiness Scale; tomorrow 2 PM; 5 business days | solutions/prior-authorization/screenshots/assisted/annotated/12-pa-11.png |
easy-confirm-draft |
easy | Prior Authorization Pilot | solutions/prior-authorization/screenshots/assisted/annotated/13-confirm-draft.png |
hard-step-01 |
hard | Untitled Agent | solutions/prior-authorization/screenshots/manual/annotated/01-create-blank-agent.png |
hard-step-02 |
hard | Prior Authorization Manual | solutions/prior-authorization/screenshots/manual/annotated/02-name-agent.png |
hard-step-03 |
hard | Role | solutions/prior-authorization/screenshots/manual/annotated/03-enter-instructions.png |
hard-step-04 |
hard | Draft | solutions/prior-authorization/screenshots/manual/annotated/04-save-instructions.png |
hard-step-05 |
hard | Provide trusted context to guide decisions | solutions/prior-authorization/screenshots/manual/annotated/05-remove-web-search.png |
hard-step-06 |
hard | aibast_prior-authorization-review-rules.md | solutions/prior-authorization/screenshots/manual/annotated/06-add-aibast-prior-authorization-review-rules.png |
hard-step-07 |
hard | aibast_prior-authorization-synthetic-records.md | solutions/prior-authorization/screenshots/manual/annotated/07-add-aibast-prior-authorization-synthetic-records.png |
hard-step-08 |
hard | prior-authorization-appeal-evidence-packet | solutions/prior-authorization/screenshots/manual/annotated/08-add-appeal-evidence-packet.png |
hard-step-09 |
hard | prior-authorization-approval-outlook | solutions/prior-authorization/screenshots/manual/annotated/09-add-approval-outlook.png |
hard-step-10 |
hard | prior-authorization-criteria-evidence | solutions/prior-authorization/screenshots/manual/annotated/10-add-criteria-evidence.png |
hard-step-11 |
hard | prior-authorization-denial-review | solutions/prior-authorization/screenshots/manual/annotated/11-add-denial-review.png |
hard-step-12 |
hard | prior-authorization-patient-auth-request | solutions/prior-authorization/screenshots/manual/annotated/12-add-patient-auth-request.png |
hard-step-13 |
hard | prior-authorization-payer-requirements-check | solutions/prior-authorization/screenshots/manual/annotated/13-add-payer-requirements-check.png |
hard-step-14 |
hard | prior-authorization-portfolio-status | solutions/prior-authorization/screenshots/manual/annotated/14-add-portfolio-status.png |
hard-step-15 |
hard | prior-authorization-request-evidence | solutions/prior-authorization/screenshots/manual/annotated/15-add-request-evidence.png |
hard-step-16 |
hard | prior-authorization-status-summary | solutions/prior-authorization/screenshots/manual/annotated/16-add-status-summary.png |
hard-step-17 |
hard | prior-authorization-submission-packet | solutions/prior-authorization/screenshots/manual/annotated/17-add-submission-packet.png |
hard-step-18 |
hard | prior-authorization-tracking-plan | solutions/prior-authorization/screenshots/manual/annotated/18-add-tracking-plan.png |
hard-step-19 |
hard | Claude Opus 5; prior-authorization-tracking-plan; prior-authorization-submission-packet; prior-authorization-status-summary; prior-authorization-request-evidence; prior-authorization-portfolio-status; aibast_prior-authorization-synthetic-records.md; aibast_prior-authorization-review-rules.md | solutions/prior-authorization/screenshots/manual/annotated/19-review-inventory.png |
hard-step-20 |
hard | prior-authorization-tracking-plan; prior-authorization-submission-packet; prior-authorization-status-summary; prior-authorization-request-evidence | solutions/prior-authorization/screenshots/manual/annotated/20-review-skills.png |
hard-step-21 |
hard | prior-authorization-denial-review; prior-authorization-criteria-evidence; prior-authorization-approval-outlook; prior-authorization-appeal-evidence-packet | solutions/prior-authorization/screenshots/manual/annotated/21-review-skills-more.png |
hard-step-22 |
hard | Prior Authorization Manual | solutions/prior-authorization/screenshots/manual/annotated/22-open-preview.png |
hard-pa-01 |
hard | SYN-AUTH-001; additional evidence requested | solutions/prior-authorization/screenshots/manual/annotated/23-pa-01.png |
hard-pa-02 |
hard | Synthetic Imaging Evidence Checklist; Checklist only | solutions/prior-authorization/screenshots/manual/annotated/24-pa-02.png |
hard-pa-03 |
hard | SYN-AUTH-001 | solutions/prior-authorization/screenshots/manual/annotated/25-pa-03.png |
hard-pa-04 |
hard | reviewer must confirm; minimum-necessary evidence | solutions/prior-authorization/screenshots/manual/annotated/26-pa-04.png |
hard-pa-05 |
hard | MR-489327; 72148; Dr. James Thompson | solutions/prior-authorization/screenshots/manual/annotated/27-pa-05.png |
hard-pa-06 |
hard | PT x6 weeks; Red flag screening; All required criteria met | solutions/prior-authorization/screenshots/manual/annotated/28-pa-06.png |
hard-pa-07 |
hard | PA-2024-892741; Not submitted; Case #4729183 | solutions/prior-authorization/screenshots/manual/annotated/29-pa-07.png |
hard-pa-08 |
hard | 94% for similar cases; Complete documentation package; Peer-to-peer review with radiologist | solutions/prior-authorization/screenshots/manual/annotated/30-pa-08.png |
hard-pa-09 |
hard | every 4 hours; 48 hours | solutions/prior-authorization/screenshots/manual/annotated/31-pa-09.png |
hard-pa-10 |
hard | Martinez, Ana; Pending: 3 authorizations; 91% this month | solutions/prior-authorization/screenshots/manual/annotated/32-pa-10.png |
hard-pa-11 |
hard | Epworth Sleepiness Scale; tomorrow 2 PM; 5 business days | solutions/prior-authorization/screenshots/manual/annotated/33-pa-11.png |
hard-step-34 |
hard | Prior Authorization Manual | solutions/prior-authorization/screenshots/manual/annotated/34-confirm-draft.png |
Reference-only visual gaps
These checkpoints remain open or reference historical captures. No current image is implied by this table; review and reshoot requirements must be resolved before acceptance.
| Checkpoint | Mode | Source asset | Reason |
|---|