prepare_knee_injection_evidence
Prepare a free, category-level evidence checklist for a knee osteoarthritis hyaluronic-acid injection denial using routing facts, injection-series status, and record availability categories. Reuses the existing knee denial preparation kit. Does not inspect records or verify an insurer's specific criteria, provide clinical recommendations, draft an appeal, calculate deadlines, or estimate success. Send only the schema's bounded categories; never send names, identifiers, record text, or uploaded documents. Missing routing facts and unsupported routes remain explicit holds.
Input Schema
| Name | Required | Description | Default |
|---|---|---|---|
| state | No | Lowercase state code from the notice or plan, not residence alone. | |
| program | No | ||
| records | No | Category availability only, not evidence contents or a finding of sufficiency. | |
| appeal_stage | No | ||
| drug_channel | No | This checklist covers medical-benefit injections only; do not infer the channel. | |
| denial_reason | No | ||
| employer_type | No | ||
| current_status | No | ||
| funding_status | No | ||
| injection_series | No | unknown | |
| regulatory_marker | No | ||
| regulatory_state_basis | No |
Output Schema
| Name | Required | Description | Default |
|---|---|---|---|
| gaps | Yes | ||
| _note | Yes | ||
| route | Yes | ||
| status | Yes | ||
| _coverage | Yes | ||
| missing_facts | Yes | ||
| criteria_check | Yes | ||
| injection_series | Yes | ||
| public_resources | Yes | ||
| reported_records | Yes | ||
| preparation_scope | Yes | ||
| questions_for_plan | Yes | ||
| evidence_categories | Yes | ||
| unsupported_reasons | Yes | ||
| plan_criteria_verified | Yes | ||
| questions_for_clinician | Yes | ||
| evidence_sufficiency_assessed | Yes | ||
| user_reported_categories_only | Yes |