Coverage and Insurance
SkillDev toolsGenerate 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.
Available today. Use it from your connected AI after setup.
No other account needed.
Connect ahel once, and every AI you use reads what you have installed.
Then ask your AI: use the Coverage and Insurance skill
What this skill tells your AI
The instructions your AI receives, as published by fdu-ins/insurance-skills in Skills/coverage/SKILL.md and read by ahel’s review.
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).
Signals
- GitHub stars
- 73
- Forks
- 19
- Last commit
- Jul 2026
Advanced
- Catalog kind
- skill
- Gateway key
coverage-fdu-ins- Source
- github.com/fdu-ins/insurance-skills