Individual skill

insurance-navigation-framework

Teaches how to read an Explanation of Benefits, understand prior authorization processes, navigate the insurance appeal process, and decode common insurance terminology. Produces reference guides and step-by-step checklists for common insurance interactions without advising on plan selection or coverage decisions. Use when the user asks about reading an EOB, understanding a denied claim, the prior authorization process, how to appeal an insurance decision, or decoding insurance terminology. Do NOT use for recommending specific insurance plans, advising on coverage choices, interpreting specific policy benefits, or providing legal advice about insurance disputes.

src/process/resources/skills-library/bodies/skills/health-wellness/insurance-navigation-framework/SKILL.md

Source commit 4c030c7b01c241df7b6e3535635a970f10d781af

What was checked

Matches the observed repository HEAD

Yes

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No

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No

Observed behavior

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Last checked

Nov 4, 2026

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