samer-4/priorauth-rag

This repository is an active-development prior-authorization appeal builder. Its principal workflow takes a denial letter and clinical notes, extracts structured denial details, selects payer policy criteria, finds and evaluates supporting evidence, generates a structured appeal draft, and checks the draft for grounding and consistency. The graph focuses on the implemented pipeline; the README’s planned RAG, agent orchestration, and deployment capabilities are not shown as current components. Connections are based on the README and sampled source, including the case runner; other runtime details were not inspected.