Prior Authorization Letter
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Write a prior authorization letter to [insurance company] for [medication/procedure] for patient [initials].

Clinical details:
- Patient diagnosis: [diagnosis with ICD-10]
- Requested medication/procedure: [name]
- Medical necessity: [explain why needed]
- Previous treatments tried: [list with outcomes]
- Why alternatives failed: [explain]
- Supporting clinical evidence: [cite guidelines]
- Urgency: [routine/urgent]

Letter should include:
1. Patient identification and insurance ID
2. Requested service clearly stated
3. Clinical diagnosis and severity
4. Medical necessity justification
5. Failed alternative treatments
6. Supporting clinical guidelines
7. Expected outcome with treatment
8. Physician contact for peer to peer review

Tone: Clinical, factual, and persuasive
Length: 300-400 words
Note: Attach supporting documentation

Source: https://promptzyo.com/prompt/prior-authorization-letter