nhcx-preauth
Add NHCX pre-authorisation to a hospital information system or a standalone claims desk. Link the admission, capture the dossier, ask the auth-requirements ruling, send the pre-auth (12), answer a PMJAY query (19, 131), raise an enhancement (13), cancel (PC01) and ask for a predetermination, reading every answer (20, 21, 22, 23, 24, PC02), held to the pinned bundles. Starts by checking whether the app already sends pre-auths or any of these legs, and whether the coverage and plan it depends on exist, then builds, extends or reuses only what is missing. Self-contained; needs no other skill installed. Use for pre-authorisation, enhancement, pre-auth query answers, cancelling a pre-auth, auth requirements, predetermination, NHCX use cases B3, B8 cancel, B9, D2 and D4 to D8, flow steps F5 to F9e.
Pinned to revision 355af5ef8927, so it is the text this page describes rather than whatever the author pushed since.
Files
- skills/nhcx-preauth/SKILL.md
- skills/nhcx-preauth/core/FOUNDATION.md
- skills/nhcx-preauth/core/LADDER.md
- skills/nhcx-preauth/fhir/FHIR.md
- skills/nhcx-preauth/flow/FLOW.md
- skills/nhcx-preauth/flow/flow.json
- skills/nhcx-preauth/references/api-knowledge.md
- skills/nhcx-preauth/references/errors-and-debugging.md
- skills/nhcx-preauth/references/fhir-knowledge.md
- skills/nhcx-preauth/references/flow-knowledge.md
- skills/nhcx-preauth/references/material.md
- skills/nhcx-preauth/references/testing-knowledge.md
- skills/nhcx-preauth/references/transport-knowledge.md
- skills/nhcx-preauth/scripts/fetch-package.sh
- skills/nhcx-preauth/stages/0-capability-check.md
- skills/nhcx-preauth/stages/1-idea.md
- skills/nhcx-preauth/stages/10-run-tests.md
- skills/nhcx-preauth/stages/11-build-report.md
- skills/nhcx-preauth/stages/2-planning.md
- skills/nhcx-preauth/stages/3-discovery.md
- skills/nhcx-preauth/stages/4-flow-and-data-mapping.md
- skills/nhcx-preauth/stages/5-screen-plan.md
- skills/nhcx-preauth/stages/6-code-plan.md
- skills/nhcx-preauth/stages/7-write-code/7.1-config-and-transport.md
- skills/nhcx-preauth/stages/7-write-code/7.10-communication-and-payment.md
- skills/nhcx-preauth/stages/7-write-code/7.11-state-and-payer-adapters.md
- skills/nhcx-preauth/stages/7-write-code/7.12-screens.md
- skills/nhcx-preauth/stages/7-write-code/7.13-standalone-shell.md
- skills/nhcx-preauth/stages/7-write-code/7.2-storage.md
- skills/nhcx-preauth/stages/7-write-code/7.3-callback-and-archive.md
- skills/nhcx-preauth/stages/7-write-code/7.4-policy-and-coverage.md
- skills/nhcx-preauth/stages/7-write-code/7.5-insurance-plan.md
- skills/nhcx-preauth/stages/7-write-code/7.6-auth-requirements.md
- skills/nhcx-preauth/stages/7-write-code/7.7-claim-bundle.md
- skills/nhcx-preauth/stages/7-write-code/7.8-claim-response-reader.md
- skills/nhcx-preauth/stages/7-write-code/7.9-tasks.md
- skills/nhcx-preauth/stages/7-write-code/README.md
- skills/nhcx-preauth/stages/8-validate-modules.md
- skills/nhcx-preauth/stages/9-write-tests.md
- skills/nhcx-preauth/templates/0-capability.md
- skills/nhcx-preauth/templates/1-idea.md
- skills/nhcx-preauth/templates/10-test-run.md
- skills/nhcx-preauth/templates/11-report.md
- skills/nhcx-preauth/templates/2-planning.md
- skills/nhcx-preauth/templates/3-discovery.md
- skills/nhcx-preauth/templates/4-flow-data-mapping.md
- skills/nhcx-preauth/templates/5-screen-plan.md
- skills/nhcx-preauth/templates/6-code-plan.md
- skills/nhcx-preauth/templates/8-validation.md
- skills/nhcx-preauth/templates/9-tests.md
- skills/nhcx-preauth/templates/STATE.md
- skills/nhcx-preauth/templates/capabilities.json
- skills/nhcx-preauth/templates/mapping.json
- skills/nhcx-preauth/templates/module-record.md
- skills/nhcx-preauth/templates/modules.json
- skills/nhcx-preauth/templates/screens.json
- skills/nhcx-preauth/templates/validation-record.json
- skills/nhcx-preauth/ui/UI-GUIDE.md
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