1
of 6— Gather the clinical information you'll need
What you'll accomplish
Prior authorization letters that used to take 20-30 minutes now take 5, with stronger clinical language and a higher approval rate. You'll finish with letter templates ready for your most common authorization scenarios.
What you'll need
- Claude account at claude.ai (free tier works for this; no special subscription needed)
- Patient's de-identified clinical information (diagnosis, labs, BMI, previous interventions)
- The CPT code for MNT you're requesting (97802 initial, 97803 follow-up, 97804 group)
- Time needed: 20 minutes for setup; 5 minutes per letter after
- Cost: Free
How-To Guide: AI-Assisted Insurance Prior Authorization Letters
Step 1: Gather the clinical information you'll need
Before opening Claude, have these details ready (use de-identified info, no patient names):
- Primary diagnosis (ICD-10 code and description)
- Key clinical indicators (A1c, BMI, eGFR, labs that support medical necessity)
- Previous interventions tried and their outcomes
- Number of MNT sessions requested
- Insurance name (some payers have specific language they look for)
- CPT code(s)
Tools:Claude