healthcare-admin

healthcare-admin is an agent for Claude Code from alexmmatos/arthur-mcp. It costs 62 tokens per session (1,608 once invoked), scanned B, original, MIT.

A healthcare-operations specialist for the business and regulatory work behind medical care. It covers areas such as billing, medical coding, insurance claims, audits, and quality programs.

In plain words
What is it for?
Use it for revenue-cycle work, HIPAA audits, medical coding, payer analysis, cost reports, and healthcare quality improvement.
Why use it?
It helps make complex healthcare rules, payment processes, and administrative requirements easier to review and manage.

Agent for Claude Code

Written for Claude Code: installed under .claude/. Also seen: model in frontmatter; mentions subagents.

Good fit Use it for revenue-cycle work, HIPAA audits, medical coding, payer analysis, cost reports, and healthcare quality improvement.

Compare 6 agents from other repositories ↓
Install with agentmods
npx agentmods add agents/alexmmatos/arthur-mcp/healthcare-admin
Install

Getting it into your agent

One page per mod, every tool's command on it. A separate URL per tool would split the same page into five that compete with each other.

Clone the repo
git clone --depth 1 https://github.com/alexmmatos/arthur-mcp

Made for: Claude Code.

Wrote this? Show the measurements

A badge with what this costs and how it scanned, read live from this page, so it follows the numbers instead of freezing them. Markdown for a README, HTML for a documentation site or a project page.

agentmods badge for healthcare-admin

README.md
[![agentmods](https://agentmods.dev/badge/agents/alexmmatos/arthur-mcp/healthcare-admin/github.svg)](https://agentmods.dev/agents/alexmmatos/arthur-mcp/healthcare-admin)
Your own site
<a href="https://agentmods.dev/agents/alexmmatos/arthur-mcp/healthcare-admin"><img src="https://agentmods.dev/badge/agents/alexmmatos/arthur-mcp/healthcare-admin/github.svg" alt="Measured on agentmods" height="20"></a>

Or the 80×15 button, for a site that already has a row of RSS and ATOM ones. Only the verdict fits; the numbers stay here.

agentmods 80×15 button for healthcare-admin

Your own site · 80×15
<a href="https://agentmods.dev/agents/alexmmatos/arthur-mcp/healthcare-admin"><img src="https://agentmods.dev/badge/agents/alexmmatos/arthur-mcp/healthcare-admin.svg" alt="Reviewed on agentmods" width="80" height="20"></a>
Per session 62 Only the description is in the session, so the agent can decide to use it. The body loads when it is invoked.
When invoked 1,608 The whole file, excluding the scripts and references it only reads on demand.
Security scan B 2 findings. A grade says what 26 rules found in the file — not that it is safe.
Origin original No closer match found in the catalogue.
Token cost

What it costs to keep this loaded

Counted locally with the o200k_base tokenizer, which is exact for GPT models; Claude uses its own tokenizer and its counts differ. Treat this as one consistent yardstick across the catalogue rather than a bill. Prices are per million input tokens.

ModelPer sessionOnce invoked
Fable 5.1 $0.00062 $0.01608
Opus 5 $0.00031 $0.00804
Sonnet 5 $0.00012 $0.00322
Haiku 4.5 $0.00006 $0.00161

Measured 8d ago against content hash 2f59ae676494, method: parsed. Prices are Anthropic first-party input rates as of 2026-09-11, from the pricing page.

Security

Grade B, and why

healthcare-admin scanned grade B with 2 findings against 26 rules in 11 categories — prompt injection, anti-refusal, data exfiltration, privilege escalation, supply chain, agent snooping, system-prompt leakage, SSRF and excessive agency — measured 8d ago.

A static scan of the body, not an audit. Every finding is printed with the line that produced it so you can judge whether it matters here. A mod is markdown that instructs an agent; that is exactly why what it instructs is worth reading.

Downloads and executes remote codemediumSupply chain

curl | sh runs whatever the server returns today, which is not necessarily what it returned when this was reviewed.

- **Install:** `curl -fsSL https://raw.githubusercontent.com/ajhcs/healthcare-agents/main/install.sh | bash`

Downgraded: this mod is about security review, or the phrase is quoted, so it is likely naming the pattern rather than instructing it.

Makes network callslowCapability

Not a fault in itself. Listed so you know the mod talks to something, and to what.

- **Install:** `curl -fsSL https://raw.githubusercontent.com/ajhcs/healthcare-agents/main/install.sh | bash`
.claude/agents/healthcare-admin.md · 200 lines

How it starts

The opening of the file, as written. The whole thing — 200 lines — stays where its author put it; the contents beside it link to each section on GitHub.

You are a healthcare administration specialist backed by 51 specialized sub-agents covering every major domain of healthcare operations. Each sub-agent averages 420+ lines of domain knowledge with real CFR citations, deliverable templates, and integration with federal data systems.

Core Domains

Revenue Cycle Management

  • Charge capture and charge description master (CDM) maintenance
  • Medical coding: ICD-10-CM/PCS, CPT, HCPCS, MS-DRGs, APCs
  • Claims submission, denial management, and appeals
  • CMS cost report preparation (HCRIS data, Worksheet S/A/D)
  • 340B program compliance and split-billing audits
  • Payer contract modeling and reimbursement analysis

Compliance and Regulatory

  • HIPAA Security Rule audits (45 CFR 164.308-312)
  • HIPAA Privacy Rule gap analysis and policy drafting
  • Medicare Conditions of Participation
  • Stark Law and Anti-Kickback Statute screening
  • EMTALA compliance reviews
  • State licensure and certificate-of-need requirements

Quality and Patient Safety

  • CMS Quality Reporting Programs (MIPS, VBP, HRRP)
  • Accreditation readiness (Joint Commission, DNV, HFAP)
  • Patient safety event investigation (RCA, FMEA)
  • HEDIS measure calculation and improvement
  • Patient experience (HCAHPS, CG-CAHPS) analysis
  • Infection prevention and NHSN reporting

Clinical Operations

  • Care management and utilization review
  • Prior authorization workflow optimization
  • Referral management and network adequacy
  • Clinical documentation improvement (CDI)
  • Emergency preparedness planning
  • Home health, long-term care, and ambulatory operations

Health IT and Interoperability

  • Epic Caboodle/Cogito reporting and analytics
  • HL7 FHIR and C-CDA interoperability
  • Clinical data warehouse design and ETL
  • Telehealth program implementation
  • Information governance and data quality
  • ONC certification and Cures Act compliance

Payer Relations

  • Managed care contract negotiation
  • Medicare and Medicaid enrollment (PECOS, state portals)
  • Credentialing and provider enrollment (CAQH ProView)
  • Value-based care model design (ACOs, bundles, capitation)
  • Medicare Advantage and Part D program analysis

Read the full file on GitHub · 200 lines

Changes

What this file has done since we first saw it

Hashed on every crawl. A supply-chain change to an agent config is a question of when, not whether, so the history is kept rather than the latest state alone.

  1. 8d ago First seen · 200 lines · 62 tokens per session scan B 2f59ae676494

Subscribe to this mod's changes

healthcare-admin is an agent published in the GitHub repository alexmmatos/arthur-mcp (2 stars, last pushed 1mo ago), licensed MIT. It adds 62 tokens to every session and 1,608 once invoked, about $0.0003 per session on Opus 5. A static security scan graded it B with 2 findings (downloads and executes remote code, makes network calls). No closer match exists in the catalogue, so it is treated as the original; first seen 2026-09-03.