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Sample output · de-identified

One case, start to finish.

The denial that arrives, the action plan that goes to the physician, and the appeal package that goes back to the plan. Real output, synthetic patient, health-system identifiers removed — and the denial letter is a constructed example, not correspondence from any payer.

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Utilization management · prior authorizationGeneral Health System · Provider NPI 1234567890
Synthetic sample

Prior Authorization Request

Bariatric Surgery (CPT 43644)

Submitted toUnitedHealthcare
Date of request7/23/2026
Review typeAppeal of prior denial
Administrative information
PatientJane Doe · 08/14/1983
Member ID12345678901
Group numberGRP-88420
Referring providerDr. John Smith · NPI 1234567890
Requested serviceLaparoscopic gastric bypass
DiagnosisE66.01 · E11.9
Policy citation statement

This request is submitted in accordance with the applicable UnitedHealthcare medical policy governing the requested service. Each governing criterion is mapped below to contemporaneous clinical documentation.

Source · uhcprovider.com policy · bariatric surgery, medical necessity requirements, rev. 06/2026
Criteria mapping & clinical evidence
Criterion 1 · BMI / obesity classificationMet
Policy requiresBMI ≥ 40 kg/m² — or ≥ 37.5 kg/m² in individuals of Asian descent.
Chart showsBMI 42.1 · 245 lbs · 5'4" · comorbidities: type 2 diabetes, essential hypertension
Cited toPrimary care progress note, 2025-11-12 · policy p. 1
Criterion 2 · prior nonsurgical weight-loss attemptMet
Policy requiresA documented history of unsuccessful nonsurgical weight loss under a supervised or structured program.
Chart shows12 intensive multicomponent behavioral sessions completed in the multidisciplinary bariatric prep program, with diet, activity and behaviour-change counselling documented at each.
Cited toBariatric dietitian note, 2026-05-10 · policy p. 30
Physician certification

I certify that the information provided in this request is accurate and complete to the best of my knowledge, and that the requested service is medically necessary for this patient based on the clinical evidence cited above.

Dr. John Smith · referring provider
Date
What to look at

Every criterion is stated in the payer’s own words, then matched to a dated document in the chart. A reviewer can open both sides.

No confidence scores here

Match confidence is a number about our own retrieval, not about the patient. It belongs in the worklist, where a specialist uses it to decide what to check — anything under threshold is routed to them rather than asserted here. Printing it beside a criterion in the outbound package would only hand the reviewer a reason to discount the criterion. A criterion either made it into this document or it did not.

De-identification

Synthetic patient, placeholder NPIs, health-system name and contact details removed. Nothing on this page came from a real chart.

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