Full transcript of the MLR Pre-Review Agent run
You are the promotional review coordinator. An agent has pre-worked a sales aid, checked every claim against the approved library, flagged what fails, and drafted the fixes. You decide what reaches the committee.
The packet holds the asset, the reference pack, the approved claims library, and the annotated prescribing information. A coordinator would spend the better part of a day cross-checking every claim and citation before the committee ever sees it. The agent does that pass first.
- Ingested the asset and reference pack. 14 pages parsed, 17 claims and 24 reference annotations extracted with page coordinates. (0.9s)
- Verified every claim against the approved library. 17 of 17 claims matched to substantiated language in the prescribing information and the claims library. (1.7s)
- Checked fair balance and safety placement. Important safety information present on every spread. Page 3 balance ratio falls below the brand template threshold. (2.4s)
- Validated reference annotations. Two citations point to a superseded publication version, both traced to the agency's older reference pack. (3.1s)
- Drafted compliant alternative phrasing. Replacement language pulled from the approved database for both flags, with the source annotation attached to each edit. (4.2s)
Agent finding: the asset is substantively clean. Two mechanical defects would have consumed a full committee cycle — the page 3 balance ratio and two stale citations — and both come with approved replacement language ready for the creator to accept.
The agent cannot approve promotional content. Medical, legal, and regulatory reviewers own that call.
- Return the two fixes to the creator. Send the flagged balance ratio and citations back with the approved replacement language, then route the corrected asset straight to the committee.
- Route as-is with the pre-review report. Let the committee weigh the flags themselves. The report travels with the asset and every finding carries its source.
- Override a flag. Disagree with the agent. A documented rationale is required, and the case auto-flags for quality sampling.
Whatever you choose, the committee still makes the final determination with the pre-screening report in hand. The agent narrows the work to medical and legal judgment rather than mechanical checking.
- The manual path: 3 systems, 1 day. A coordinator opens the claims library, the reference pack, and the annotated prescribing information, checks 17 claims by hand, writes the findings into a review form, and books the next committee slot.
- The agent-embedded path: 5 steps, 4 minutes. The agent verifies, flags, and drafts. The coordinator reviews the report and routes. The committee spends its cycle on medical and legal judgment instead of citation checking.
Industry MLR cycles run 50 to 60 days per content piece. Removing mechanical defects before the first committee read attacks the rework loop that drives most of that time, and every check stays in the audit trail for the next inspection.
Illustrative prototype. The brand, asset, claims, and timings are fictional sample-tenant data built to show the interaction pattern, not customer telemetry or a performance claim.