Healthcare Billing & Insurance
Automate claims submission, prior auth requests, denial management, and payment posting across your billing and insurance workflows.
A collection of habits that streamline the full billing cycle: from eligibility verification through to payment reconciliation. Each habit operates independently and can be deployed individually or as a complete billing automation suite.
What It Does
- Claims Submission: auto-submit insurance claims after patient visits
- Prior Auth Request: trigger pre-authorisation requests for scheduled procedures
- Denial Management: route denied claims for review and resubmission
- EOB Reconciliation: match explanation-of-benefits to patient records nightly
- Eligibility Verification: verify patient insurance eligibility before appointments
- Payment Posting: post received payments to patient accounts automatically
Claims Submission
WebhookAuto-submit insurance claims after patient visits with all required documentation.
Prior Auth Request
ScheduledTrigger pre-authorisation requests for scheduled procedures and track approval status.
Denial Management
WebhookRoute denied claims for review and resubmission with denial reason context.
EOB Reconciliation
ScheduledMatch explanation-of-benefits documents to patient records every night.
Eligibility Verification
ScheduledVerify patient insurance eligibility before each appointment automatically.
Payment Posting
WebhookPost received payments to patient accounts automatically on confirmation.
Key Files
version: "1.0"
name: "Healthcare - Billing Insurance"
workflows:
- id: claims-submission
path: ./habits/claims-submission.yaml
enabled: true
- id: prior-auth-request
path: ./habits/prior-auth-request.yaml
enabled: true
- id: denial-management
path: ./habits/denial-management.yaml
enabled: true
- id: eob-reconciliation
path: ./habits/eob-reconciliation.yaml
enabled: true
- id: eligibility-verification
path: ./habits/eligibility-verification.yaml
enabled: true
- id: payment-posting
path: ./habits/payment-posting.yaml
enabled: true
server:
port: 13001
host: "0.0.0.0"
logging:
level: info
outputs: [console]
format: text
colorize: trueTailored to your systems & workflows
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