prior-auth-submission

Skills and tests for submitting prior authorizations through the Simplex SDK.

Layout

• skills/clinical-questions/ — drug-agnostic skill that teaches an agent how to fetch, walk, and answer a payer's PA decision tree, then hand the answers to client.fill_pa(...). Includes a reference walker (walk_tree.py) that should be reused rather than reimplemented.
• tests/global_caremark_pa/ — end-to-end test scripts:
  • test_sdk.py — search_drugs → fill_pa → submit_pa for a Caremark commercial member (BIN 004336/ADV/OR). The submit_pa backend is currently a stub that routes to INBOUND_EXAMPLE_NUMBER, not a real Caremark fax line.
  • test_clinical_questions.py — calls get_clinical_questions for one (BIN, PCN, state, drug, ICD) tuple and pretty-prints the resulting decision tree.

Run

pip install simplex
export SIMPLEX_API_KEY=...
python tests/global_caremark_pa/test_clinical_questions.py
python tests/global_caremark_pa/test_sdk.py