01
Map criteria to evidence
Gaps first.
Made for Dentists
Build a Prior Auth Packet That Answers the Insurer’s Actual Question
Also useful for: Medical Assistants, Nurses, Nurse Practitioners, Paramedics, Physicians, Registered Nurses, Therapists, people in Healthcare
35 min
Intermediate
Healthcare
Dentist
Career outcome:
Save Professional Time
Stop sending the whole chart. Answer the coverage criteria in order.
We'll use them to write your prompt.
Completed ✓
Make Your Play
Give us the situation. We’ll build the prompt.
Denials often mean the letter didn't map to criteria.
Your answers save as you type.
What you'll do
This is the plan inside your prompt. Add your details first. Then follow these steps with ChatGPT or Claude.
02
Write the one-page rationale
Same order as the payer.
03
List attachments
Don't dump the chart.
04
Plan the appeal if this fails
Second pass should be sharper.
Make Your Play
Build a Prior Auth Packet That Answers the Insurer’s Actual Question
Tell us what the prompt needs to know
Start with the questions below. Each answer personalizes the playbook and builds the prompt you’ll use at the end.
Your situation
Drug, imaging, DME, stay.
Payer rules, last denial reason, portal checklist.
0/10000
Notes, dates, scores, prior treatments.
0/10000
When the patient is waiting.
This playbook was updated. Review your inputs before copying.
What you'll do
Check a step when you finish it.
01
Map criteria to evidence
Gaps first.
02
Write the one-page rationale
Same order as the payer.
03
List attachments
Don't dump the chart.
04
Plan the appeal if this fails
Second pass should be sharper.
Fill in the fields above to generate your prompt preview.
Assembled prompt
Beginner instructions
Fill the fields with this week’s real details. Incomplete notes beat invented polish.
Run the assembled prompt, answer follow-ups with specifics, then copy the deliverable into your own doc and verify names and numbers.
Advanced instructions
Add constraints the model can’t see: politics, licensing, cash timing, union rules, or family bandwidth.
After the first pass, ask it to attack the weakest assumption in the draft.
Use this when
A medication, imaging, or DME is stalled, or you have been denied once already.
You'll need
- What you are requesting
- Criteria you have (even messy)
- Evidence you can put your hands on
- Deadline
You'll get
- A a packet outline: criteria, evidence, and the one-page clinical rationale you can use without rewriting it from scratch.
By the end of this playbook
You will have:
- A a packet outline: criteria, evidence, and the one-page clinical rationale you can use without rewriting it from scratch.
Examples
Progress 1 of 4