claim-denial-decoder
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.
npx skills add mohitagw15856/pm-claude-skills --skill claim-denial-decoder --agent claude-code
Same command for any agent — swap --agent for codex, cursor, copilot.
Weekly change comes from our own snapshots, not the repository page — it measures attention, not adoption.
# 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. - **The claim story** — what was c
- What This Skill Produces
- Required Inputs
- Framework: Severity Scale
- Output Format
- Denial Decode & Appeal: [claim #, insurer]
- Quality Checks
- Anti-Patterns
- Based On
What does the claim-denial-decoder skill do?
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.
How do I install it?
Run `npx skills add mohitagw15856/pm-claude-skills --skill claim-denial-decoder --agent claude-code` — it drops the skill into your project so the agent can pick it up. Swap the --agent value for codex, cursor or copilot if you use one of those.
Where does this skill come from?
From mohitagw15856/pm-claude-skills, a repository with 1,255 stars. We read it straight from the repository tree rather than a submitted listing, so what you see here is what is actually published.
Is a popular skill a good skill?
Not necessarily. Stars measure attention, not adoption — a repository can trend for a week and be abandoned. That is why we show the weekly change from our own snapshots next to the total, instead of a single flattering number.