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nha-in/nhcx

v0.1.0MIT

Agent skills for building on the National Health Claims Exchange (NHCX), one per use case in episode order: nhcx-coverage, nhcx-insurance, nhcx-preauth, nhcx-claim, nhcx-payment, nhcx-communication and nhcx-reprocess. Each builds its use case into a hospital information system or a claims desk, held to the NHCX package's pinned FHIR bundles, and installs and runs alone.

nhcx-claim

Add the NHCX claim to a hospital information system or a standalone claims desk. Record the discharge (normal, LAMA, DAMA or death, with the surgery stage), file the claim (15) under the pre-auth's number, answer a claim query (161 on PMJAY) and read every answer (25, 26, 27, 291), held to the pinned bundles, including the LAMA collapse and the death rules. Starts by checking whether the app already files claims or records the discharge facts a claim needs, and whether the approved pre-auth it depends on exists, then builds, extends or reuses only what is missing. Self-contained; needs no other skill installed. Use for filing a claim, discharge variants, claim query answers, NHCX use cases B5, D9 and D10, flow steps F10 and F11.

Read SKILL.md at the source

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