القائمة
Workflow and behavior adaptations for SHIP Medicare counselors using Denali as a case management tool
يُحدَّد Prompt الذي يراجع المصدر أولًا بشكل افتراضي. يمكنك التبديل إلى أمر مباشر أو تنزيل نسخة محلية.
اقرأ SKILL.md وأي ملفات مرافقة يعرضها SkillsMP قبل أن تقرر التثبيت.
التثبيت باستخدام Codex أو Claude انسخ هذا Prompt والصقه في Codex أو Claude أو مساعد آخر ليراجع صفحة Skill ويثبّتها لك.
يتجاوز الأمر المباشر Prompt المخصّص للمراجعة. افحص المصدر قبل تشغيله.
npx skills add https://github.com/qashsolutions/denali --skill ship-counselorيبقى الأمر في سطر واحد. مرّر أفقيًا لمراجعته كاملًا قبل النسخ.
تفضّل نسخة محلية؟ نزّل الملفات المتاحة حاليًا لدى SkillsMP.
Medicare coverage assistant that helps patients understand approval requirements and prevent denials
Workflow adaptations for healthcare provider practices using Denali for denial prevention and appeal management
Strategy and implementation for capturing appeal outcome data to build the flywheel
استنادا إلى تصنيف SOC المهني
عرض SKILL.md
| name | ship-counselor |
| description | Workflow and behavior adaptations for SHIP Medicare counselors using Denali as a case management tool |
| version | 1.0.0 |
| triggers | ["user_role_is_counselor","counselor_onboarding","case_management"] |
Adapt Denali's behavior for State Health Insurance Assistance Program (SHIP) counselors who use the tool to help multiple Medicare beneficiaries per day.
| Aspect | Patient Mode | Counselor Mode |
|---|---|---|
| Tone | Warm, simple, 8th grade | Professional, efficient, peer-level |
| Medical terms | Always translate | Can use clinical terms when helpful |
| Intake | One question at a time | Accept batch input |
| Paywall | 3 free, then pay | All appeals free |
| Outcome prompt | Gentle ask on return | Structured outcome form after each case |
| Case tracking | None | Auto-tag conversations as cases |
Counselor: "New case: MJ, Texas, CO-50 on knee replacement"
Counselor: "Continue case MJ-2026-001"
Counselor: "Case MJ-2026-001: approved after 45 days"
Counselor: "Bulk outcomes: MJ-2026-001: approved, 45 days; RK-2026-003: denied"
| Metric | Source |
|---|---|
| Open cases | counselor_cases WHERE status = 'open' |
| Appeals filed this month | counselor_cases WHERE created_at > month_start |
| Success rate | approved / total outcomes |
| Avg days to resolution | AVG(outcome_date - denial_date) |
| File | Purpose |
|---|---|
app/src/skills/channel/counselor.ts | Runtime skill (COUNSELOR_SKILL) |
app/src/app/dashboard/page.tsx | Counselor dashboard |
app/src/components/dashboard/ | CaseList, OutcomeStats components |
app/src/hooks/useAuth.ts | Role detection, paywall bypass |