Indian Health Insurance Claim Help skill

A skill that prepares a document packet for an Indian health insurance claim: what to attach, what is missing, how to upload.

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  • Last commit
  • MIT
Skill

Extended access

Why this level

  • The skill works with the user's medical and personal documents and the model sees their contents.
All reasons and checks

dhananjaybhosale/indian-health-insurance-claim-help

Install

In your terminal, with SkillFoxx CLI

npx skillfoxx add skills/indian-health-insurance-claim-help

Detects the agents on your machine, shows the access level and pins the version.

Other ways to install

Access and checks

How we review

Extended accessThe tool runs code or makes network calls and only reads external data.

  • The skill works with the user's medical and personal documents and the model sees their contents.

This is third-party code. Review the repository files before installing.

What it does

The skill helps assemble a reimbursement claim for an Indian health insurance policy: for hospitalization, before it and after it. It asks a few needed questions, reads the policy schedule and works out the pre- and post-hospitalization date ranges. It then lists the exact documents and tips for photographing pages, matches each prescription, report, itemized bill and receipt to one expense and names exactly what is missing. The skill finds duplicate bills, total mismatches and unsupported items, builds a bill table and an upload plan for each portal field and writes short messages to a pharmacy, lab or hospital. After submission it helps answer insurer queries, check deductions in the settlement letter and escalate a rejection. It never invents diagnoses, amounts, signatures or paid status and never submits the claim itself.

Who it is for. Residents of India with a health insurance policy who are assembling reimbursement documents and fear a rejection over an incomplete packet.

Good fit when

  • After hospitalization you must work out which documents the claim needs.
  • Bills and receipts do not add up and discrepancies must be found.
  • A hospital or pharmacy needs a message asking for a missing paper.
  • The insurer sent a letter with deductions and each one must be checked.

Not a fit when

  • The policy is not Indian: rules and portals are described for Indian insurers.
  • Legal advice or a guarantee of payout is needed.
  • The claim must be submitted automatically: the skill never submits it.

Example request

Help me prepare a hospitalization reimbursement claim. Ask the needed questions, check the bills and tell me what is missing.

Limitations

The author stresses that preparation improves completeness but does not guarantee payout: the policy, deadlines, original papers and insurer assessment decide. The skill does not submit claims and is no substitute for legal advice. The no-install mode gives text checks while building upload PDFs works only in the skill mode where code can run. On claude.ai Code execution and file creation must be on, and on team plans an owner must allow skills first. The documents carry medical and personal data.

How to disable. Remove the skill under `Customize > Skills` on claude.ai or delete the skill folder from the agent directory. Delete generated document packets by hand.

FAQ

Does anything need installing?

No. Send the repository link to ChatGPT or Claude with one line about the claim and the assistant reads the guide.

How do I install the skill on claude.ai?

Download `indian-health-insurance-claim-help.zip` from the release, turn on Code execution in settings and upload the archive in `Customize > Skills`.

Will the skill submit the claim for me?

No, it prepares documents and messages and a person submits on the insurer portal.

Which expenses does it cover?

Hospitalization, expenses before and after, then helps with insurer queries and rejections.

Can another chat assistant be used?

Yes, open `GUIDE.md` as plain text and paste it as the first message into Gemini or any other chat.

Discussion

No questions or reviews yet.

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README in short

The README covers use with and without installation, what the skill does, privacy rules, example chats in Claude and ChatGPT and links to reference files.

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