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Agent skill

Dental Insurance Preauth

by mohitagw15856 in mohitagw15856/pm-claude-skills

Write a dental pre-authorisation request or claim narrative that gets approved the first time — the diagnosis, the documented failure of lesser treatment, and the attachments a reviewer needs…

MITAuto-check passed

Install Dental Insurance Preauth

skills CLI
$ npx skills add mohitagw15856/pm-claude-skills --skill dental-insurance-preauth -a claude-code

Project install by default; add -g for ~/.claude/skills/.

GitHub CLI
$ gh skill install mohitagw15856/pm-claude-skills dental-insurance-preauth --agent claude-code

Project scope by default; add --scope user for a personal install. Needs GitHub CLI 2.90.0 or later (public preview).

Manual copy
$ git clone --depth 1 https://github.com/mohitagw15856/pm-claude-skills.git skills-src && mkdir -p .claude/skills && cp -r skills-src/skills/dental-insurance-preauth .claude/skills/dental-insurance-preauth && rm -rf skills-src

Use ~/.claude/skills/ instead of .claude/skills for a personal install. The folder must contain SKILL.md.

Claude Code skills documentation · loads skills from .claude/skills/

Facts

Skill name
dental-insurance-preauth
GitHub stars
1.4k
Token cost
~1.5k tokens
SKILL.md length
768 words
Files
1
Skills in repo
1,348
Repo updated
First seen
Licence
MIT

At a glance

Write a dental pre-authorisation request or claim narrative that gets approved the first time — the diagnosis, the documented failure of lesser treatment, and the attachments a reviewer needs…

  • Works in 6 steps: Name the diagnosis, not the request.… → Establish chronicity and progression.… → Kill the lesser alternative explicitly.… → …
  • Asked to write a pre-auth
  • SKILL.md covers What This Skill Produces, Required Inputs, Framework: Diagnosis, Failure… and Output Format, plus 3 more sections
  • Instructions only: no scripts, shell commands, URLs or credentials in SKILL.md

What it does

Dental Insurance Preauth is an agent skill from mohitagw15856/pm-claude-skills. Write a dental pre-authorisation request or claim narrative that gets approved the first time — the diagnosis, the documented failure of lesser treatment, and the attachments a reviewer needs, assembled in the order they assess them. Use when asked to write a pre-auth, submit a predetermination, appeal a denied dental claim, or write a narrative for a crown, implant, or perio case. Produces the narrative, the supporting-evidence checklist, the attachment list, and an appeal letter if the claim was already denied…

Its SKILL.md is about 1.5k tokens, which your agent loads only when the skill is triggered. It is a single SKILL.md file with no bundled scripts.

The repository describes itself as: 1255 professional Agent Skills for Claude, ChatGPT, Gemini, Cursor & Codex — PRDs, postmortems, leases, medical bills, layoffs, go-bags, new countries. Plain markdown, MIT, in… The licence is MIT.

When your agent uses it

  • Asked to write a pre-auth
  • Submit a predetermination
  • Appeal a denied dental claim
  • Write a narrative for a crown

Example prompts

  • “/dental-insurance-preauth”

Workflow steps

6 steps, taken from the first numbered list in SKILL.md.

  1. Name the diagnosis, not the request. Reviewers approve conditions, not procedures. Lead with what is wrong.
  2. Establish chronicity and progression. Dates matter — a finding documented across two visits is far stronger than one described today.
  3. Kill the lesser alternative explicitly. The reviewer's default is that something cheaper would do. Say what it is and why it will fail…
  4. Match evidence to claim. Every assertion in the narrative should have an image or chart entry that shows it, labelled so the reviewer does…
  5. Write to the plan's language. If the policy uses a specific term for the criterion, use that term.
  6. On appeal, rebut the stated reason only. Resubmitting the original narrative with more adjectives is why second denials happen.

What it can do on your machine

Read from SKILL.md and the folder at commit 1cbf1f0. It shows what the files ask for, not the result of running them.

  • Tool permissions

    Pre-approves nothing: there is no allowed-tools line, so your agent's usual permission prompts apply.

    From allowed-tools in the SKILL.md frontmatter.

  • Runs code

    No scripts in the folder and no shell commands in SKILL.md.

    From the folder's file list and the shell code blocks in SKILL.md.

  • Network

    No URLs in SKILL.md.

    From URLs in SKILL.md, links to its own repository left out.

  • Credentials

    Names no API keys, tokens, secrets or passwords.

    From names ending in _API_KEY, _TOKEN, _SECRET, _KEY or _PASSWORD in SKILL.md.

Context cost

Dental Insurance Preauth loads about 1.5k tokens when it runs. Until then it costs about 162 tokens; SKILL.md has 768 words of instructions outside code blocks.

Always · name and description, kept in context so the agent knows when to use it
~162
When it runs · the whole SKILL.md, loaded when a task matches
~1.5k

Estimates: characters ÷ 4, the usual rule of thumb; real counts depend on the model's tokenizer. Scripts and assets cost tokens only if the agent reads them.

Safety

Auto-check passed

The automated check found no risky patterns in SKILL.md.

Automated static check — not a guarantee. Review scripts before installing. It scans the text of SKILL.md for risky patterns (piping downloads into a shell, reading credential files, hidden Unicode, destructive commands); files beside SKILL.md are not scanned.

SKILL.md

The full file from mohitagw15856/pm-claude-skills at commit 1cbf1f0, republished under its MIT licence (© mohitagw15856). 768 words, ~1,495 tokens.

Download SKILL.mdSave it as .claude/skills/dental-insurance-preauth/SKILL.md (or your agent's skills folder).
name
dental-insurance-preauth
description
Write a dental pre-authorisation request or claim narrative that gets approved the first time — the diagnosis, the documented failure of lesser treatment, and the attachments a reviewer needs, assembled in the order they assess them. Use when asked to write a pre-auth, submit a predetermination, appeal a denied dental claim, or write a narrative for a crown, implant, or perio case. Produces the narrative, the supporting-evidence checklist, the attachment list, and an appeal letter if the claim was already denied. Administrative support only; clinical justification must come from the treating clinician's own findings.

Dental Pre-Authorisation & Claim Narrative

Most dental denials are not clinical disagreements — they are missing sentences. The reviewer needs the diagnosis, evidence that something less invasive was considered or tried, and images that show what you are describing. This assembles all three in the order the reviewer works through them, and writes the appeal when the first submission failed anyway.

What This Skill Produces

  • The clinical narrative — diagnosis, history, and why this treatment rather than a lesser one, in a reviewer's vocabulary
  • The evidence checklist — radiographs, photos, charting, and dates the plan will expect for this procedure class
  • The lesser-treatment paragraph — what was tried or considered and why it is not adequate, which is the sentence most denials hinge on
  • The attachment list — what to send, labelled so the reviewer can match each image to the claim
  • An appeal letter — if already denied, rebutting the stated reason specifically rather than resubmitting the same file
  • A denial-risk read — what in this submission is most likely to draw a request for more information

Required Inputs

Ask for these if not provided:

  • The procedure and tooth — what is being requested, with codes if you use them
  • The diagnosis and findings — clinical and radiographic, with dates
  • The history — previous treatment on that tooth, prior failures, how long the problem has been present
  • What lesser treatment was tried or ruled out — and the clinical reason it is not adequate
  • The plan and any denial — the carrier, the plan terms if known, and the exact denial reason if this is an appeal

Framework: Diagnosis, Failure of the Alternative, Evidence

  1. Name the diagnosis, not the request. Reviewers approve conditions, not procedures. Lead with what is wrong.
  2. Establish chronicity and progression. Dates matter — a finding documented across two visits is far stronger than one described today.
  3. Kill the lesser alternative explicitly. The reviewer's default is that something cheaper would do. Say what it is and why it will fail here, in one specific sentence.
  4. Match evidence to claim. Every assertion in the narrative should have an image or chart entry that shows it, labelled so the reviewer does not hunt.
  5. Write to the plan's language. If the policy uses a specific term for the criterion, use that term.
  6. On appeal, rebut the stated reason only. Resubmitting the original narrative with more adjectives is why second denials happen.

Output Format

Show full SKILL.md (372 more words)Show less
Pre-authorisation: [procedure] · [tooth] · [patient] · [carrier]

Diagnosis: [condition, tooth, with supporting findings]

History: [when the problem was first documented, prior treatment on this tooth and dates, progression observed]

Clinical findings: [probing depths, mobility, caries extent, fracture, periapical findings — whatever the procedure class turns on]

Radiographic findings: [what the images show, referenced to the attached files by name]

Why this treatment: [the indication, in the plan's criteria language]

Why lesser treatment is not adequate: [the specific alternative — restoration rather than crown, scaling rather than surgery — and the clinical reason it fails here]

Attachments: [file name — what it shows — date taken], one line each

Denial risk: [the weakest link a reviewer would probe, and what strengthens it]

If appealing — Denial reason stated: [quote it]. Response: [the specific rebuttal, with the evidence that addresses that reason]. Additional evidence enclosed: [list].

Administrative drafting only. The diagnosis, findings, and clinical justification must be the treating clinician's own; never assert a finding that is not in the chart. Plan criteria, codes, and appeal deadlines vary by carrier and jurisdiction — verify before submitting.

Quality Checks

  • Opens with the diagnosis rather than the procedure requested
  • Chronicity is established with dates from the chart
  • The lesser alternative is named and specifically ruled out
  • Every claim in the narrative maps to a labelled attachment
  • On appeal, the stated denial reason is quoted and answered directly
  • No finding is asserted that does not appear in the record

Anti-Patterns

  • Requesting a procedure instead of presenting a condition. Reviewers approve diagnoses.
  • Omitting why the cheaper option will not work. This single missing sentence causes a large share of denials.
  • Unlabelled attachments. A reviewer who cannot match the image to the assertion denies for insufficient documentation.
  • Adjectives instead of measurements. 'Severely broken down' loses to 'less than 2 mm of sound coronal structure remaining'.
  • Appealing by resubmitting. If the reason is not addressed, the second answer matches the first.
  • Asserting findings not in the chart. This turns an administrative problem into a serious one.

Example Trigger Phrases

  • "Write a pre-auth narrative for a crown on #30"
  • "Our claim was denied — help me appeal it"
  • "What does the insurer need to approve this implant?"
  • "Write a predetermination for periodontal surgery"
  • "Why do our crown claims keep getting denied?"

© mohitagw15856, MIT. Rendered from Markdown: HTML in the file is shown as text, images as links, and headings moved down two levels. Raw file

Files

Just SKILL.md in skills/dental-insurance-preauth of mohitagw15856/pm-claude-skills.

Open the folder on GitHubat commit 1cbf1f0

Compare with similar skills

Dental Insurance Preauth next to the 5 skills that share the most tags, products or categories with it. Stars are the repository's; “used in” counts other GitHub owners with a copy.

Dental Insurance Preauth compared with similar skills
SkillStarsUsed inTokensAuto-checkLicenceRepo updated
Dental Insurance Preauth this skillmohitagw15856/pm-claude-skills1.4k—~1.5kAutomated safety check: PassMIT
Claimsruvnet/ruflo74k1 repos~1.1kAutomated safety check: PassMIT
Team NarrativeDonchitos/Claude-Code-Game-Studios26k—~4.5kAutomated safety check: PassMIT
Dos Verify Done Claimssickn33/agentic-awesome-skills47k1 repos~2.1kAutomated safety check: PassMIT
Claim Chartanthropics/claude-for-legal9.6k2 repos~10kAutomated safety check: PassApache-2.0
NarrativeMuuuun/luxas1.2k—~1.5kAutomated safety check: PassMIT

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Questions about Dental Insurance Preauth

What does Dental Insurance Preauth do?

Write a dental pre-authorisation request or claim narrative that gets approved the first time — the diagnosis, the documented failure of lesser treatment, and the attachments a reviewer needs…. Dental Insurance Preauth is an agent skill from mohitagw15856/pm-claude-skills. Write a dental pre-authorisation request or claim narrative that gets approved the first time — the diagnosis, the documented failure of lesser treatment, and the attachments a reviewer needs, assembled in the order they assess them.

When should I use Dental Insurance Preauth?

Dental Insurance Preauth fits situations like: asked to write a pre-auth; submit a predetermination; appeal a denied dental claim; write a narrative for a crown.

How do I install Dental Insurance Preauth in Claude Code?

Run `npx skills add mohitagw15856/pm-claude-skills --skill dental-insurance-preauth -a claude-code`. Or copy the skill folder (skills/dental-insurance-preauth in mohitagw15856/pm-claude-skills) into .claude/skills/dental-insurance-preauth in your project. Claude Code loads it when a task matches its description.

How do I install Dental Insurance Preauth in Codex?

Run `npx skills add mohitagw15856/pm-claude-skills --skill dental-insurance-preauth -a codex`. Or copy the skill folder (skills/dental-insurance-preauth in mohitagw15856/pm-claude-skills) into .agents/skills/dental-insurance-preauth in your project. Codex loads it when a task matches its description.

Can I use Dental Insurance Preauth in Cursor, Gemini CLI or GitHub Copilot?

Cursor, Gemini CLI, GitHub Copilot and OpenCode also load SKILL.md folders. With the skills CLI, run `npx skills add mohitagw15856/pm-claude-skills --skill dental-insurance-preauth -a cursor` (or -a gemini-cli, github-copilot or opencode for the others). To copy it by hand, put the folder in .cursor/skills/dental-insurance-preauth, .gemini/skills/dental-insurance-preauth, .github/skills/dental-insurance-preauth and .opencode/skills/dental-insurance-preauth in your project.

What does Dental Insurance Preauth need to run?

SKILL.md names no scripts, command-line tools or credentials: Dental Insurance Preauth is instructions for the agent only.

Does Dental Insurance Preauth access the network?

SKILL.md contains no URLs. Any network use would come from the scripts or tools the agent runs. This is read from the text; nothing was executed.

Is Dental Insurance Preauth safe to install?

Our automated static check of SKILL.md found no risky patterns, such as piping downloads into a shell, reading credential files or hidden Unicode. It is not a guarantee. Review the folder before installing.

What licence does Dental Insurance Preauth use?

Dental Insurance Preauth is published under the MIT licence (the repository's licence). It allows redistribution, so the full SKILL.md is shown on this page.

How many tokens does Dental Insurance Preauth use?

About 1.5k tokens (SKILL.md is roughly 6k characters). Agents keep only the skill's name and description in context until a task matches; then they load SKILL.md in full.

What are the alternatives to Dental Insurance Preauth?

Skills that share tags, products or a category with Dental Insurance Preauth: Claims (ruvnet/ruflo, 74k stars), Team Narrative (Donchitos/Claude-Code-Game-Studios, 26k stars), Dos Verify Done Claims (sickn33/agentic-awesome-skills, 47k stars) and Claim Chart (anthropics/claude-for-legal, 9.6k stars). The comparison table on this page puts their stars, adoption, token cost, safety result and licence side by side.

Who maintains Dental Insurance Preauth?

mohitagw15856 (a GitHub user) maintains it in mohitagw15856/pm-claude-skills, which has 1,434 GitHub stars. The repository holds 1,348 skills in this directory. The repository was last updated on October 9, 2026.

Source: mohitagw15856/pm-claude-skills on GitHub. Facts on this page come from the repository at the commit we read; the author's words are quoted as theirs.