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, Medicaid, benefits, or coordination of benefits. For claims and EOB see the claims-eob skill.

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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).

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Frequently asked questions

npx skillmds add majiayu000/coverage-4