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anthropicsanthropicsOfficial·3 Agent Skills Included

healthcare

Healthcare coding, prior authorization, fraud screening, and FHIR data extraction

Automates healthcare payer and provider workflows: prior authorization review, medical coding (ICD-10, CPT, HCPCS), claims fraud screening, and clinical note extraction. Connects directly to hospital EHR systems via FHIR and public CMS, NPI, and ICD-10 data sources. Eliminates hours of manual chart review, code lookup, and policy checking with cited, auditable results.
376|96
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npx skills add anthropics/healthcare --all -g -y
Available:

Tells the agent where to store healthcare data files safely on the user's machine and which folders it is allowed to write to when running these skills.

All Skills in This Repository (3)

Pure Emerald Level Indicators
📦 In Repo
anthropicsanthropics

prior-auth-review-skill

Automate payer prior authorization review and generate APPROVE, PEND, or DENY decisions.

Official
Advanced
📦 In Repo
anthropicsanthropics

fhir-developer-skill

Build FHIR R4 servers with resource validation and OperationOutcome error handling.

Official
Advanced
📦 In Repo
anthropicsanthropics

clinical-trial-protocol-skill

Generate clinical trial protocol drafts for devices and drugs via modular waypoint workflows.

Official
Advanced

Frequently Asked Questions

FAQPage Schema
How to install healthcare?▼

Run `npx skills add anthropics/healthcare --all -g -y` in your terminal to install all healthcare skills globally.

How to automate prior authorization reviews?▼

The prior-auth skill reads the request and clinical documents, verifies the provider and codes against NPI, ICD-10, and CMS coverage data, then drafts an approve, deny, or pend decision with a notification letter for your review.

Can it detect fraud in Medicare or Medicaid claims?▼

Yes. The fraud-detection skill screens a claims database against public NCCI, OIG, and CMS rules, then produces ranked, fully cited investigation packets for your SIU team.

Does it connect to Epic or other hospital EHR systems?▼

Yes. The FHIR skill connects to any SMART-on-FHIR endpoint such as Epic, Oracle Health, or MEDITECH, pulls patient notes, and extracts structured findings.

Can it assign medical billing codes from clinical notes?▼

Yes. Separate skills assign ICD-10-CM diagnosis codes and CPT/HCPCS procedure codes from encounter documentation, verified against current code sets rather than memory.

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