Individual skill

claims-analytics

Pipeline skill for healthcare claims data parsing, analysis, and fraud detection. Use when the user asks to parse X12 837 or 835 claim files, manipulate ICD-10 CPT or HCPCS codes, detect billing pattern anomalies, profile providers against specialty peers, identify outlier billing behavior, validate NCCI edits programmatically, detect duplicate claims, run Benford's law analysis on charges, build claims data pipelines, or analyze E&M code distributions. Triggers include "parse X12 837", "parse 835", "claims SQL", "ICD-10 manipulation", "CPT code analysis", "provider profiling", "billing outlier", "NCCI validation code", "duplicate claim detection", "Benford's law charges", "claims ETL", "E&M distribution analysis", "claims analytics pipeline".

skills/claims-analytics/SKILL.md

Source commit 4603541c396cdd845dbae554800a65132d12bb63

What was checked

Matches the observed repository HEAD

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Observed behavior

Not checked yet

Last checked

Nov 7, 2026

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