AAIBAST evidence report
Academy / Prior Authorization Agent
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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.

47Reusable positive checkpoints
0Open or historical checkpoints excluded from current proof
0Optional future Learn-step captures

Deterministic case contract

These source-only marker checks are not, by themselves, native final-answer passes.

CaseMust includeMust 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.

CheckpointModeVisible evidenceAnnotated 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.

CheckpointModeSource assetReason

Downloads for audit

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