PriorAuthdocs

The agent registry

Generated from the live registry at build time. It cannot describe a capability the gateway does not enforce.

5 agents. Each is a named set of tools and a default autonomy ceiling - not a separate model, and not a separate set of credentials.

Generated
Read from AGENTS in agents.mjs, cross-referenced against the tool registry. The reach columns are computed from what each agent can actually call.

#The fleet

AgentDefaultReads PHIWrites chartsTransmitsGated tools
prior_auth_intakeL3yes-yes1
auth_status_monitorL1yes--0
encounter_triageL2yesyes-0
chart_writebackL3yesyes-2
denial_triageL1yes--0

#What each one does

#Prior Authorization Intake

Checks payer support, fetches payer rules, validates the draft, then stops at the human release gate. On release it submits and polls to a decision.

ToolEffectPHIFloorGate
payer_supports_278nonenoneL1-
fetch_payer_rulesnonenoneL1-
validate_service_reviewnonenoneL1-
search_service_reviewsnonemaskedL1-
submit_service_reviewexternalphi-viewL3always
get_service_reviewnonephi-viewL1-

#Authorization Status Monitor

Polls authorizations that are still pending at the payer and reports those that have reached a decision. Read-only.

ToolEffectPHIFloorGate
search_service_reviewsnonemaskedL1-
get_service_reviewnonephi-viewL1-

#Encounter Triage

The trigger. Queries scheduled surgeries and in-office procedures, asks whether each needs prior authorization for its payer, and raises a task for the ones that do. Reads the chart and writes a task; never submits and never touches the clinical narrative.

ToolEffectPHIFloorGate
ehr_find_encountersnonemaskedL1-
ehr_get_encounternonephi-viewL1-
check_auth_requirementexternal_readnoneL1-
which_codes_need_authnonenoneL1-
ehr_create_taskwritenoneL2-

#Chart Write-back

Closes the loop. Given a decided authorization, records the payer status in the chart and attaches the authorization to the appointment as a referral. Every write is gated or bounded.

ToolEffectPHIFloorGate
get_service_reviewnonephi-viewL1-
ehr_write_commentwritenoneL2conditional
ehr_attach_referralwritenoneL3always

#Denial Triage

Reads an adverse determination, classifies the payer reason, and PROPOSES a next action. Never acts and never releases a determination.

ToolEffectPHIFloorGate
get_service_reviewnonephi-viewL1-
fetch_payer_rulesnonenoneL1-

#Autonomy is licensed, and it expires

An agent may act above L1 only while a recent eval run says it should. After fourteen days the licence lapses and the agent drops to proposing, whatever its configured ceiling says. See Agent control plane.