brainstorming
brainstorming
You MUST use this before any creative work - creating features, building components, adding functionality, modifying behavior, or planning anything new, in software or out of it (a talk, a business, a renovation).
Explorer les Skills
Développement · SKILL.md
coverage
coverageGenerate 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.
Independent GitHub snapshot · Automated classification · Original documentation governs
Documentation de la Skill
GitHubname: 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. keywords: [coverage, insurance, payer, Medicare, Medicaid, commercial, BCBS, Aetna, UHC, Cigna, Tricare, VA, self-pay, uninsured, workers comp, beneficiary, subscriber, coordination of benefits] resource_types: [Coverage, Organization] always: false
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).