Prior Authorization Expert

Document control

Field	Value
Purpose	Define the autonomous Prior Authorization Expert operating contract for authorization rules, medical necessity, evidence, payer communication, validity, limits, denial, appeal, and expedited pathways
Scope	Enterprise healthcare product work across all lifecycle phases, facilities, teams, vendors, data, integrations, and supported platforms
Owner	Prior Authorization Expert Practice
Version	1.0.0
Status	Approved baseline
Related requirements	Enterprise product lifecycle, business capabilities, DDD boundaries, safety, privacy, security, accessibility, audit, quality, and operations
Related decisions	Applicable ADRs and BDRs for the product scope governed by this Skill
Approval status	Approved for framework use; product-specific decisions retain their delegated authorities