insurance-narrative

insurance-narrative is a command for Claude Code from alexclowe/awesome-claude-cowork-plugins. It costs 19 tokens per session (827 once invoked), scanned A, original, MIT.

A dental insurance-writing assistant that drafts clinical explanations for why a procedure or imaging schedule is needed. It uses supplied findings, diagnoses, treatment details, and billing codes.

In plain words
What is it for?
Use it to write narratives for periodontal treatment, more frequent bitewing X-rays, and other dental claim justifications.
Why use it?
It turns clinical information into a structured justification for an insurance claim, while distinguishing treatment such as deep cleaning from routine cleaning.

Command for Claude Code

Written for Claude Code: user-invocable in frontmatter.

Part of the dental-hygienist plugin — 2 skills, 4 commands shipped together

Good fit Use it to write narratives for periodontal treatment, more frequent bitewing X-rays, and other dental claim justifications.

Compare 6 commands from other repositories ↓
Install with agentmods
npx agentmods add commands/alexclowe/awesome-claude-cowork-plugins/insurance-narrative
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/alexclowe/awesome-claude-cowork-plugins

Made for: Claude Code.

Or install dental-hygienist, the plugin that ships this one along with the rest of its 2 skills, 4 commands.

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 insurance-narrative

README.md
[![agentmods](https://agentmods.dev/badge/commands/alexclowe/awesome-claude-cowork-plugins/insurance-narrative/github.svg)](https://agentmods.dev/commands/alexclowe/awesome-claude-cowork-plugins/insurance-narrative)
Your own site
<a href="https://agentmods.dev/commands/alexclowe/awesome-claude-cowork-plugins/insurance-narrative"><img src="https://agentmods.dev/badge/commands/alexclowe/awesome-claude-cowork-plugins/insurance-narrative/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 insurance-narrative

Your own site · 80×15
<a href="https://agentmods.dev/commands/alexclowe/awesome-claude-cowork-plugins/insurance-narrative"><img src="https://agentmods.dev/badge/commands/alexclowe/awesome-claude-cowork-plugins/insurance-narrative.svg" alt="Reviewed on agentmods" width="80" height="20"></a>
Per session 19 Only the description is in the session, so the agent can decide to use it. The body loads when it is invoked.
When invoked 827 The whole file, excluding the scripts and references it only reads on demand.
Security scan A 0 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 $0.00019 $0.00827
Opus 5.5 $0.00008 $0.00331
Sonnet 5.5 $0.00004 $0.00165
Haiku 4.5 $0.00002 $0.00083

Measured 23d ago against content hash 19c707844890, method: parsed. Prices are Anthropic first-party input rates as of 2026-10-07, from the pricing page.

Security

Grade A, and why

insurance-narrative scanned grade A with 0 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 23d 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.

Nothing flagged

None of the 26 patterns this scan looks for appear in this file: no shell pipes, no recursive deletes, no credential paths, no hidden text, no instruction-override or anti-refusal phrasing, no agent-config snooping. That is not a guarantee, it is the absence of the things that are checkable.

dental-hygienist/commands/insurance-narrative.md · 91 lines

How it starts

The opening of the file, as written. The whole thing — 91 lines — stays where its author put it; the contents beside it link to each section on GitHub.

You are a dental hygiene documentation assistant helping a dental hygienist write clinical narrative justifications for insurance claims.

The user will describe the clinical situation and the procedure requiring justification. Your job is to generate a clear, evidence-based clinical narrative that supports insurance approval.

Narrative types

Scaling and Root Planing (SRP) Justification

Structure the narrative to include:

  • Clinical findings: probing depths (specific sites 4mm+), BOP percentage, CAL, radiographic bone loss
  • AAP/EFP diagnosis with staging and grading
  • Medical factors contributing to periodontal disease (diabetes, smoking, medications)
  • Why prophylaxis alone is insufficient — differentiate SRP from a routine cleaning
  • Treatment plan: quadrants to be treated, number of sessions, anesthesia needed
  • Expected outcomes and follow-up plan
  • ADA CDT codes: D4341 (4+ teeth per quadrant), D4342 (1-3 teeth per quadrant)

Bitewing Frequency Exception

For bitewing radiographs taken more frequently than the standard benefit allows:

  • Clinical rationale for increased frequency (high caries risk, new caries detected, monitoring existing restorations, orthodontic treatment)
  • ADA/FDA guidelines on radiograph selection criteria
  • Risk factors present: poor oral hygiene, high sugar diet, xerostomia, history of frequent caries, open margins
  • Reference ADA's recommendations that radiograph frequency should be based on clinical judgment, not arbitrary time intervals
  • CDT codes: D0272 (two bitewings), D0274 (four bitewings)

Sealant Application

  • Tooth-specific clinical findings: deep pits and fissures, incipient caries, staining indicating susceptibility
  • Patient risk factors: caries history, fluoride exposure, diet, oral hygiene compliance
  • Evidence supporting sealant effectiveness in caries prevention
  • Note age of patient and tooth eruption timeline
  • CDT code: D1351

Periodontal Maintenance

  • Original diagnosis and treatment history
  • Current periodontal status at maintenance visit
  • Sites requiring continued monitoring
  • Why standard prophylaxis is not appropriate — patient has a history of periodontal disease requiring specialized maintenance
  • CDT code: D4910 vs D1110 (prophylaxis) distinction

Read the full file on GitHub · 91 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. 23d ago First seen · 91 lines · 19 tokens per session scan A 19c707844890

Subscribe to this mod's changes

insurance-narrative is a command published in the GitHub repository alexclowe/awesome-claude-cowork-plugins (30 stars, last pushed 4d ago), licensed MIT. It adds 19 tokens to every session and 827 once invoked, about $0.0001 per session on Opus 5.5. A static security scan graded it A with 0 findings. No closer match exists in the catalogue, so it is treated as the original; first seen 2026-09-24.