microsoft/prior-authorization-multi-agent-solution-accelerator
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Payer-side AI-assisted prior authorization review using Microsoft Agent Framework with four Foundry Hosted Agents (Compliance, Clinical, Coverage, Synthesis).
Обзор
A multi-agent AI solution that automates for health plan payers. Four specialized — Compliance, Clinical Reviewer, Coverage, and Synthesis — evaluate PA requests against coverage policies and produce auditable approve/pend recommendations in under 2 minutes. Built with , the , , and . Decision policy and evaluation methodology adapted from the Anthropic prior-auth-review-skill: LENIENT mode decision policy, per-criterion MET/NOT_MET/INSUFFICIENT evaluation, confidence scoring, progressive gate evaluation, structured audit trails, NCCI bundling risk flagging, service-type classification, and provider specialty-procedure appropriateness as an auditable criterion. With any AI solutions you create using these templates, you are responsible for assessing all associated risks and for complying with all applicable laws and safety standards. Learn more in the transparency documents for Agent Service and Agent Framework.
README
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Prior Authorization Multi-Agent Solution Accelerator
A multi-agent AI solution that automates prior authorization for health plan payers. Four specialized Foundry Hosted Agents — Compliance, Clinical Reviewer, Coverage, and Synthesis — evaluate PA requests against coverage policies and produce auditable approve/pend recommendations in under 2 minutes. Built with Microsoft Foundry, the Microsoft Agent Framework (MAF), Azure Container Apps, and MCP healthcare data servers.
The solution supports two runtime modes:
| Mode | How to start | What happens |
|---|---|---|
| Foundry Hosted Agent (recommended) | azd up |
Agents are registered with Microsoft Foundry Hosted Agents (refreshed preview); each agent gets a dedicated endpoint that the backend invokes through AIProjectClient.get_openai_client(agent_name=...) with DefaultAzureCredential. Foundry manages the container lifecycle. |
| Local / Docker Compose | docker compose up |
All 4 agent containers + backend + frontend run locally — no Azure deployment needed. |
Decision policy and evaluation methodology adapted from the Anthropic prior-auth-review-skill: LENIENT mode decision policy, per-criterion MET/NOT_MET/INSUFFICIENT evaluation, confidence scoring, progressive gate evaluation, structured audit trails, NCCI bundling risk flagging, service-type classification, and provider specialty-procedure appropriateness as an auditable criterion.
[!NOTE] With any AI solutions you create using these templates, you are responsible for assessing all associated risks and for complying with all applicable laws and safety standards. Learn more in the transparency documents for Agent Service and Agent Framework.
Features
- Multi-agent parallel execution — Four specialized agents complete a full PA review in under 2 minutes; Compliance and Clinical agents run concurrently via
asyncio.gather - Foundry Hosted Agents — Each specialist agent is independently containerized and deployed on Microsoft Foundry; Foundry manages the container lifecycle
Установка
This server does not publish a one-line install command.
Open the repository installation guide Новичок в MCP? Начните с руководства на mcpskill.org →