From file to useful result
How to ask with this skill installed
Installing the skill gives your AI a method. Your request still has to provide the case-specific facts, constraints and expected output.
1Name the real task
Describe the decision or deliverable, not just the topic.
2Provide the evidence
Add source material, audience, limits and known facts.
3Define done
Set format, quality criteria and checks.
Source example
Replace the brackets with your case
When to use it
- Preparing a claim for submission after a patient encounter
- A claim was denied and you need to research the denial and file an appeal
- Running a weekly AR aging report to identify claims requiring follow-up
- Verifying patient insurance eligibility and benefits before a procedure
- A patient has a complex payer situation (dual coverage, Medicaid + Medicare)
- Processing an ERA (Electronic Remittance Advice) and posting payments
- A payer is requesting additional documentation (ADR — Additional Documentation Request)
Mistakes to avoid
- Filing claims before verifying provider credentialing with the specific payer — a provider who is in-network with the overall payer but not yet individually credentialed with a specific plan will be denied out-of-network rates retroactively
- Not tracking claims that are pending for > 45 days — the longer a claim sits in AR, the less likely it is to be paid (provider forgetfulness, patient churn, timely filing expiration)
- Ignoring timely filing deadlines because "the claim is clearly valid" — the payer will deny a claim for timely filing even if it's clearly valid, and you have no recourse if the deadline has passed
- Accepting a low payment without reviewing the ERA — many payers pay a claim at a reduced rate with a "contractual adjustment" that appears as a write-off, but the adjustment may not be contractually correct; always verify the contracted rate against your payer contract