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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-reprocess

Add the NHCX Task exchanges that follow a decision to a hospital information system or a standalone claims desk. Reprocess a rejected or partly paid claim (36), ask for the balance of a short payment (release, 36), and ask where a pre-auth or claim stands (status), reading the payer's answers (37 and the status Task), held to the pinned bundles. Starts by checking whether the app already sends these Tasks, and whether it holds the decided claim they act on, then builds, extends or reuses only what is missing. Self-contained; needs no other skill installed. Use for claim reprocess, arbitration, releasing a shortfall, status enquiries, NHCX use cases A5, B8 reprocess, D11 and D12, flow step F13.

Read SKILL.md at the source

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