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.
npx skills add ThomasMoreAI/legal-skills-open --skill health-plan-denial-bossmann007git clone --depth 1 https://github.com/ThomasMoreAI/legal-skills-openWrote 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.
[](https://agentmods.dev/skills/thomasmoreai/legal-skills-open/health-plan-denial-bossmann007)<a href="https://agentmods.dev/skills/thomasmoreai/legal-skills-open/health-plan-denial-bossmann007"><img src="https://agentmods.dev/badge/skills/thomasmoreai/legal-skills-open/health-plan-denial-bossmann007/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.
<a href="https://agentmods.dev/skills/thomasmoreai/legal-skills-open/health-plan-denial-bossmann007"><img src="https://agentmods.dev/badge/skills/thomasmoreai/legal-skills-open/health-plan-denial-bossmann007.svg" alt="Reviewed on agentmods" width="80" height="20"></a>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.
| Model | Per session | Once invoked |
|---|---|---|
| Fable 5.1 | $0.00086 | $0.02408 |
| Opus 5.5 | $0.00034 | $0.00963 |
| Sonnet 5.5 | $0.00017 | $0.00482 |
| Haiku 4.5 | $0.00009 | $0.00241 |
Grade A, and why
health-plan-denial-bossmann007 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 26d 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.
How it starts
The opening of the file, as written. The whole thing — 247 lines — stays where its author put it; the contents beside it link to each section on GitHub.
/health-medical-legal:health-plan-denial
Triage de negativa de operadora de plano de saúde. Não é parecer de mérito — é leitura estruturada para decidir: qual é o argumento de cobertura? Qual é o argumento da operadora? Qual é a urgência? Qual é a próxima ação?
Cobre:
- Tipo de negativa (exclusão de procedimento? Incompatibilidade com rol? Limite de sessões? Falta de autorização prévia?)
- Rol ANS (Lei 14.454/2022 — rol é exemplarivo, não taxativo [modelo conhecimento — verificar]; negativa com base em "não consta do rol" é débil).
- Lei 9.656/1998 — regime de planos de saúde; direitos do beneficiário.
- CDC — consumidor é categoria legal; cláusulas abusivas (Art. 51) são nulas. [verified: https://www.planalto.gov.br/ccivil_03/leis/l8078compilado.htm]
- Súmulas STJ sobre cobertura, rol, cancelamento, reajuste [modelo conhecimento — verificar].
- Urgência médica (saúde em risco? Tutela de urgência pode ser necessária?).
- Opções de resposta (resposta administrativa, tutela, reclamação à ANS, ação judicial).
Output: triage rating (cobertura forte, fraca, urgência alta), análise da alegação da operadora, recomendação de postura, próximas ações.
Matter context
Check ## Matter workspaces in CLAUDE.md. If enabled, load active matter context. If not, write to ~/.claude/plugins/config/claude-for-legal/health-medical-legal/inbound/.
Purpose
Health plan denials are among the most common consumer legal issues in Brasil. Operadora says "not covered." Patient says "I need it." Legal question: does the plan actually exclude it, or is the operadora wrong?
This skill reads the denial letter and the policy, does the legal mapping, and surfaces which arguments are strong and which are weak.
Premissa de jurisdição (Brasil)
Lei 9.656/1998 — Planos de Saúde:
- Art. 10: Plano deve oferecer cobertura básica de procedimentos. [verified: https://www.planalto.gov.br/ccivil_03/leis/l9656.htm]
- Rol (Art. 12): ANS mantém rol exemplarivo de procedimentos [modelo conhecimento — verificar].
- Exemplarivo não taxativo: Negativa com base em "não consta do rol" é fraca. Rol é exemplo, não limite.
- Art. 13, parágrafo único, II, "b": em planos individuais/familiares, é vedada a denúncia (cancelamento) unilateral pela operadora, salvo fraude ou inadimplência superior a 60 dias. (O Art. 35-C trata da cobertura obrigatória de urgência/emergência, não do cancelamento.) [verified: https://www.planalto.gov.br/ccivil_03/leis/l9656.htm]
- Reajuste: Limitado a 2x ao ano [modelo conhecimento — verificar Lei 14.454/2022].
What ships with it
2 files 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.
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.
- 26d ago First seen · 247 lines · 86 tokens per session scan A e683524c0eca
health-plan-denial-bossmann007 is a skill published in the GitHub repository ThomasMoreAI/legal-skills-open (95 stars, last pushed 15d ago), licensed Apache-2.0. It adds 86 tokens to every session and 2,408 once invoked, about $0.0003 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 2026-10-02.
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