eps-audit

Audit RIPS billing packages and validate CUPS/CIE-10 codes.

Updated Aug 27, 2026
One-click install
npx skills add https://github.com/arkangelai/skills --skill eps-audit
Or copy as Structured Prompt for Agent
Please help me install this Agent Skill.
Skill: eps-audit
Source: https://github.com/arkangelai/skills/tree/main/examples/eps-audit
Command: npx skills add https://github.com/arkangelai/skills --skill eps-audit

SYSTEM DOCUMENTATION & REQUIREMENTS

What problem does it solve?

Audita cuentas de cobro de EPS colombianas en formato RIPS contra Resolución 2175 de 2015 y sus modificatorias. Úsala cuando el usuario pida revisar glosas, validar códigos CUPS/CIE-10, detectar inconsistencias entre archivos RIPS (US, AF, AC, AP, AH, AM, AN, AT, AU), o estimar el valor glosable de una cuenta antes de radicarla.

Core Features & Use Cases

  • Revisa paquetes RIPS de EPS colombianas (US, AF, AC, AP, AH, AM, AN, AT, AU) para detectar inconsistencias y validar CUPS/CIE-10.
  • Valida la estructura de cada archivo y cruza identificadores entre archivos de detalle y US.
  • Genera un reporte en Markdown con hallazgos, valor glosable estimado y recomendaciones para radicación.

Quick Start

Coloque un paquete RIPS en una carpeta y pídale al agente que ejecute la revisión completa.

Frequently Asked Questions about eps-audit

High-intent search queries and answers about installing and using this skill.

FAQPage Schema
How do I audit EPS billing data in RIPS format for glosa risk?

You can audit EPS billing data by validating the RIPS file structure and cross-checking components like US, AF, AC, and AP to identify misalignments, validate CUPS/CIE-10 codes, and estimate glosable value before submission.

What is a RIPS glosa audit and when do I need it?

A RIPS glosa audit reviews Colombian EPS billing packages to detect inconsistencies and validate CUPS/CIE-10 codes against Resolución 2175. You need it when preparing to submit billing accounts and wanting to estimate potential glosa value beforehand.

How do I validate CUPS and CIE-10 codes in RIPS files?

Validating CUPS and CIE-10 codes in RIPS files involves checking the AC and AP components for correct code structures and cross-referencing them against patient records in the US file to identify misalignments before generating a markdown report.

Can I estimate the glosable value of a RIPS billing package before submitting it?

Yes, you can estimate the glosable value of a RIPS billing package by running validation steps across all RIPS components to identify structural errors and code misalignments, which produces an estimated glosable value in a markdown report.

How do I check for inconsistencies across US, AF, and AC RIPS files?

Checking for inconsistencies across US, AF, and AC RIPS files involves validating the file structure and crossing identifiers between detail files and the US master file to detect misaligned records and prevent billing rejections.

What are the limitations of automated RIPS file validation for EPS billing?

Automated RIPS file validation focuses on structural checks, cross-referencing records, and CUPS/CIE-10 code validation to estimate glosa risk, but it requires a complete package of all RIPS components in a folder to function properly.