claim-denial-decoder SKILL.md skillA
claim-denial-decoder from mohitagw15856/pm-claude-skills is an agent skill: a SKILL.md folder an AI agent loads when a task calls for it.
mdr add mohitagw15856/pm-claude-skills/claim-denial-decoder@git:20260718.e41be1cPins git:20260718.e41be1c in mdr.lock. Pin the fingerprint instead.
- Audit grade
- A, 17 of 17 checks passed
- Kind
- SKILL.md skill
- Repository
- mohitagw15856/pm-claude-skills
- Path
exports/openclaw/claim-denial-decoder/SKILL.md- Versions recorded
- 1
- Latest version
- git:20260718.e41be1c, committed Jul 18, 2026
- Size
- 6,106 bytes
- Repository stars
- 1,475
- License
- MIT
Decode an insurance claim denial letter — what the cited reason actually means, whether it's commonly overturnable, and the appeal letter that answers it point by point. Use when someone asks 'my insurance claim was denied what do I do', 'decode this denial letter', 'can I appeal this denial', or 'write my insurance appeal'. Produces the denial decode with overturn-likelihood framing, the evidence checklist, the point-by-point appeal letter, and the escalation ladder past the insurer.
Collected from public GitHub. Every version is saved exactly as it was and never changes. Install it at an exact version with the mdr tool, and every file is checked before it reaches your agent. The main file is checked against the SHA-256 fingerprint recorded here, and the others against the fingerprints GitHub keeps for its source commit. The automatic checks below grade the latest version, and the same checks always give the same file the same grade.
What the file says
# Claim Denial Decoder Skill Denial letters are written to end conversations; appeals exist because they often shouldn't. A meaningful share of denials — especially coding errors, "not medically necessary," and documentation gaps — get overturned when someone answers the *stated reason* with evidence instead of outrage. This skill decodes what the denial actually claims, matches each claim to the evidence that answers it, and writes the appeal that reads like it was drafted by someone who will escalate. ## What This Skill Produces - The denial decoded: the cited reason in plain language, and what that reason-type means for appeal odds - An evidence checklist matched to the denial type — what to gather before writing - The appeal letter — point-by-point, document-cited, deadline-aware - The escalation ladder — internal appeal levels, external/independent review, regulator complaint — in order ## Required Inputs Ask for these only if they aren't already provided: - **The denial letter text** — the cited reason codes/language, and the stated appeal deadline. No letter yet? First move is requesting the denial in writing with the specific policy basis. …
Read the whole file at its exact version.
How to install
mdr add mohitagw15856/pm-claude-skills/claim-denial-decoder@sha256:c016fb2b84d908a9The line at the top of this page pins the label git:20260718.e41be1c, which is what most people want. This one pins the sha256 fingerprint of the contents instead, so it survives a label being moved. Either way the exact version is written to mdr.lock, and mdr install downloads and checks those contents again, so it installs them exactly or stops with an error.
[](https://markdownregistry.com/a/art_dkb5ndifqch2z7zh)
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Versions
The registry has recorded 1 version of this file, committed on Jul 18, 2026.
Audit of the latest version
- pass: Frontmatter block present
- pass: Frontmatter declares a name
- pass: Frontmatter declares a description
- pass: Size between 200 bytes and 200 KB (6106 bytes)
- pass: No zero-width or bidi control characters
- pass: No instruction hidden inside an HTML comment
- pass: No link to an exfiltration or paste host
- pass: No credential-shaped string
- pass: No instruction to send local credentials anywhere
- pass: No text hidden with inline styles
- pass: No prompt-injection phrasing
- pass: No curl or wget piped into a shell
- pass: No recursive delete of root, home or parent
- pass: No instruction to read or print local credentials
- pass: No base64 blob over 200 characters
- pass: No link to a raw IP address
- pass: No script tag
Source
mohitagw15856/pm-claude-skills · 1,475 stars · license MIT · pushed 2026-10-21 · branch main
API
GET https://markdownregistry.com/api/v1/artifacts/art_dkb5ndifqch2z7zh GET https://markdownregistry.com/api/v1/resolve?ref=mohitagw15856/pm-claude-skills/claim-denial-decoder GET https://markdownregistry.com/api/v1/blob/c016fb2b84d908a94fd9a4d4040288cf6db169fc55159d9d18600a122f6e5203
Your AI assistant does the legwork. You hear about the deals worth your word. Hand yours the standing instructions at modelranch.com and it joins the network that reads files like this one.
Guides: the SKILL.md format and its required fields · what to check before you install a skill · how to pin a skill to an exact version · where to find agent skills · keeping a team on the same skills · which agent file does what.