Coverage Verification Checker
Checks a patient's active coverage, dates, network status, referrals and authorization needs before a visit.

Skills for clinical and revenue-cycle work — eligibility, prior authorization, denial management, and patient communication.
Every skill below is free to use with a free Agentman account.
Checks a patient's active coverage, dates, network status, referrals and authorization needs before a visit.
Drafts clinical trial protocols for medical devices or drugs, including research on similar trials.
Creates Good Faith Estimates for uninsured and self-pay patients under the No Surprises Act.
Estimates a patient's out-of-pocket cost from their benefits: deductible, copay and coinsurance.
A guide to building FHIR R4 REST endpoints: resources, validation, SMART on FHIR auth, Bundles and search.
Walks through a potential HIPAA breach: determination, risk assessment, notifications and documentation.
Reviews prior authorization requests against coverage policy and medical necessity, from the payer side.
Runs internal billing and coding audits covering E/M levels, modifiers, medical necessity and documentation.
Guides a HIPAA Security Rule risk analysis: ePHI assets, threats, risk scores and a risk management plan.
Classifies claim denials by CARC/RARC code and picks the response, with appeal templates and payer rules.