MkRafa/agentic-rag-coverage-determination
Skill Claude CodeCodex
The required output shape for a coverage determination. Every claim carries a clauseid and a verbatim quote so the Verifier can mechanically check it.
0 1mo ago A 32 tokens
0Stars on the repository
9Mods indexed here, across every type
1mo agoLast push, which is what freshness is scored on
noneNo LICENSE: all rights reserved, so bodies are not copied
MkRafa/agentic-rag-coverage-determination
Skill Claude CodeCodex
How to read AND/OR/UNLESS structures in policy criteria, and the precedence order between plan riders, base policy, and provider FAQs.
0 1mo ago A 35 tokens
MkRafa/agentic-rag-coverage-determination
Skill Claude CodeCodex
Deterministic pre-retrieval rules. Low-confidence extractions and unredacted PHI never enter the agentic loop.
0 1mo ago B 31 tokens
MkRafa/agentic-rag-coverage-determination
Skill Claude CodeCodex
Glossary of the entities in this domain — payer, plan, rider, medical policy bulletin, provider FAQ, clause — and how they relate.
0 1mo ago A 33 tokens
MkRafa/agentic-rag-coverage-determination
Skill Claude CodeCodex
When "the corpus does not answer this" is the correct output, and how to name the specific gap so a human reviewer can act on it.
0 1mo ago C 34 tokens