healthcare-denial-spike-workup

healthcare-denial-spike-workup is a skill for Claude Code, Codex from ajhcs/healthcare-agents. It costs 26 tokens per session (175 once invoked), scanned A, original, Apache-2.0.

A skill for investigating a change in the rate of healthcare claims being rejected by insurers. It separates possible operational losses, insurer changes and coding problems.

In plain words
What is it for?
Use it to structure a denial-spike investigation from approved aggregate data, compare possible causes and record missing evidence and next actions.
Why use it?
It helps teams examine a denial-rate increase without treating one explanation as proven or making final billing or compliance decisions.

Skill for Claude CodeCodex

Written for no agent in particular: nothing here depends on one.

Good fit Use it to structure a denial-spike investigation from approved aggregate data, compare possible causes and record missing evidence and next actions.

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Install with agentmods
npx agentmods add skills/ajhcs/healthcare-agents/healthcare-denial-spike-workup
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.

Any agent
npx skills add ajhcs/healthcare-agents --skill healthcare-denial-spike-workup
Clone the repo
git clone --depth 1 https://github.com/ajhcs/healthcare-agents

Made for: Claude Code, Codex.

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-denial-spike-workup

README.md
[![agentmods](https://agentmods.dev/badge/skills/ajhcs/healthcare-agents/healthcare-denial-spike-workup/github.svg)](https://agentmods.dev/skills/ajhcs/healthcare-agents/healthcare-denial-spike-workup)
Your own site
<a href="https://agentmods.dev/skills/ajhcs/healthcare-agents/healthcare-denial-spike-workup"><img src="https://agentmods.dev/badge/skills/ajhcs/healthcare-agents/healthcare-denial-spike-workup/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-denial-spike-workup

Your own site · 80×15
<a href="https://agentmods.dev/skills/ajhcs/healthcare-agents/healthcare-denial-spike-workup"><img src="https://agentmods.dev/badge/skills/ajhcs/healthcare-agents/healthcare-denial-spike-workup.svg" alt="Reviewed on agentmods" width="80" height="20"></a>
Per session 26 Skills are progressive disclosure: only the name and description are preloaded; the body loads when the skill is used.
When invoked 175 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 $0.00026 $0.00175
Opus 5.5 $0.00010 $0.00070
Sonnet 5.5 $0.00005 $0.00035
Haiku 4.5 $0.00003 $0.00017

Measured 11d ago against content hash 01310fd67b88, method: parsed. Prices are Anthropic first-party input rates as of 2026-10-07, from the pricing page.

Security

Grade A, and why

healthcare-denial-spike-workup 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 11d 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.

skills/healthcare-denial-spike-workup/SKILL.md · 17 lines

What it actually says

Denial spike investigation

Investigate a denial-rate change and separate operational loss, payer changes and coding risk.

Read the workflow contract when this task applies. Use its evidence fields and decision checks; adapt the artifact to the user.

Work from approved aggregate, synthetic or otherwise authorized evidence. Keep sources, effective dates, missing facts and conflicts visible. Preserve the named human owner. External submissions, messages and production changes require scoped authorization. Provide administrative support; do not make final clinical, legal, coding, billing, audit or compliance decisions. Report the artifact delivered and remaining evidence or action; calculation alone does not complete the operational workflow.

Files

What ships with it

1 file beside SKILL.md in the same directory: the scripts, references and assets a skill reads on demand. Not counted in the per-session cost; read them before you install if any of them is executable.

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. 11d ago First seen · 17 lines · 26 tokens per session scan A 01310fd67b88

Subscribe to this mod's changes

healthcare-denial-spike-workup is a skill published in the GitHub repository ajhcs/healthcare-agents (52 stars, last pushed 3d ago), licensed Apache-2.0. It adds 26 tokens to every session and 175 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 2026-10-05.

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