Agent skill
coverage
Generate Coverage and insurance resources with payer diversity including Medicare, Medicaid, commercial, Tricare, VA, and self-pay. Use when user mentions coverage, insurance, payer, Medicare, Medicaid, benefits, or coordination of benefits. For claims and EOB see the claims-eob skill.
Install this agent skill to your Project
npx add-skill https://github.com/majiayu000/claude-skill-registry/tree/main/skills/other/other/coverage-alvinhenrick-fhir-synth
SKILL.md
Coverage and Insurance
Model payer diversity:
- Coverage resource: Include subscriber, beneficiary, payor references.
- Payer types: Medicare (Part A, B, C, D), Medicaid, Commercial (BCBS, Aetna, UHC, Cigna), Tricare, VA, Self-pay/uninsured, Workers' Comp.
- Class: group, plan, subplan, class, subclass, sequence.
- Include Coverage.type codes from http://terminology.hl7.org/CodeSystem/v3-ActCode: EHCPOL (employee healthcare), PUBLICPOL (public policy), SUBSIDIZ, MANDPOL.
- Period: coverage start/end dates, with some patients having gaps in coverage.
- Include patients with multiple coverages (primary/secondary coordination).
Recommended Agent Skills
Expand your agent's capabilities with these related and highly-rated skills.
majiayu000/claude-skill-registry
agent-ops-spec
Manage specification documents in .agent/specs/. Use when user provides requirements, acceptance criteria, or feature descriptions that need to be tracked and validated against implementation.
majiayu000/claude-skill-registry
agent-ops-state
Maintain .agent state files. Use at session start, after meaningful steps, and before concluding: read/update constitution/memory/focus/issues/baseline consistently.
majiayu000/claude-skill-registry
agent-ops-spec
Manage specification documents in .agent/specs/. Use when user provides requirements, acceptance criteria, or feature descriptions that need to be tracked and validated against implementation.
majiayu000/claude-skill-registry
agent-ops-testing
Test strategy, execution, and coverage analysis. Use when designing tests, running test suites, or analyzing test results beyond baseline checks.
majiayu000/claude-skill-registry
agent-ops-testing
Test strategy, execution, and coverage analysis. Use when designing tests, running test suites, or analyzing test results beyond baseline checks.
majiayu000/claude-skill-registry
agent-ops-state
Maintain .agent state files. Use at session start, after meaningful steps, and before concluding: read/update constitution/memory/focus/issues/baseline consistently.
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