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Skillv1.0.0

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, Medicai

by majiayu000(0) 0 installs
Free
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Free account. Installing gives you the manifest plus copy-paste snippets.

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About

Imported from majiayu000/claude-skill-registry (skills/domains/coverage-alvinhenrick-fhir-synth/SKILL.md). Install upstream with npx skills add majiayu000/claude-skill-registry --skill coverage-alvinhenrick-fhir-synth. Copyright stays with the author.

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).

Use it

Copy one of these into your project. Installing also returns the manifest and these snippets.

yaml
targets:
  - https://api.opensmartroute.ai/api/v1/registry/majiayu000-claude-skill-registry-coverage-alvinhenrick-f-defcce/manifest   # or paste the manifest below

Manifest

An Open Capability Manifest: the router reads it to know what this does, what it costs and when to pick it.

majiayu000-claude-skill-registry-coverage-alvinhenrick-f-defcce.ocm.jsonjson
{
  "ocm": "1",
  "id": "majiayu000-claude-skill-registry-coverage-alvinhenrick-f-defcce",
  "kind": "skill",
  "name": "coverage",
  "description": "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.",
  "publisher": "majiayu000",
  "version": "1.0.0",
  "capabilities": {
    "domains": [
      "general"
    ],
    "tags": [
      "skill-md",
      "coverage",
      "insurance",
      "payer",
      "medicare",
      "medicaid",
      "commercial",
      "bcbs",
      "aetna",
      "uhc"
    ],
    "languages": [
      "en"
    ]
  },
  "quality_prior": 0.6,
  "examples": [
    "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."
  ],
  "primary": false,
  "metadata": {
    "source": {
      "provider": "github",
      "repository": "https://github.com/majiayu000/claude-skill-registry",
      "path": "skills/domains/coverage-alvinhenrick-fhir-synth/SKILL.md",
      "ref": "a16e8e7bdddc9a7406a56f51e520cef7a8646208",
      "url": "https://github.com/majiayu000/claude-skill-registry/blob/a16e8e7bdddc9a7406a56f51e520cef7a8646208/skills/domains/coverage-alvinhenrick-fhir-synth/SKILL.md",
      "key": "majiayu000/claude-skill-registry/skills/domains/coverage-alvinhenrick-fhir-synth/SKILL.md"
    }
  },
  "instructions": "# Coverage and Insurance\n\nModel payer diversity:\n- Coverage resource: Include subscriber, beneficiary, payor references.\n- Payer types: Medicare (Part A, B, C, D), Medicaid, Commercial (BCBS, Aetna, UHC, Cigna),\n  Tricare, VA, Self-pay/uninsured, Workers' Comp.\n- Class: group, plan, subplan, class, subclass, sequence.\n- Include Coverage.type codes from http://terminology.hl7.org/CodeSystem/v3-ActCode:\n  EHCPOL (employee healthcare), PUBLICPOL (public policy), SUBSIDIZ, MANDPOL.\n- Period: coverage start/end dates, with some patients having gaps in coverage.\n- Include patients with multiple cove",
  "cost": {
    "context_tokens": 159
  }
}

Fetch it by URL: GET /api/v1/registry/majiayu000-claude-skill-registry-coverage-alvinhenrick-f-defcce/manifest?version=1.0.0

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