outpatient-coverage-scope-judgment-assistant

100 / 100 · Low risk

Fine to try.

By aifinlab/FinClaw (GitHub) · other · 273 stars · scanned at commit 9e62862

当用户需要判断保险理赔案件中的门诊场景是否可能落入保险责任范围、结合保单和条款分析门诊费用能否赔、识别免责限制因素、评估材料是否足以支持门诊责任判断或输出适合理赔审核与复核使用的门诊责任判断意见时使用本 skill。适用于分析理赔系统案件记录、报案信息、门诊病历、诊断证明、处方单、检查检验报告、医疗发票、费用清单、医保结算单、用药记录、客服或审核备注、OCR 文本、PDF 文档和截图转写内容，并结合产品责任、等待期、医院范围、赔付比例、免赔额、限额、医保目录限制、既往症和免责条款形成结构化初步判断。

Works with any agent that supports SKILL.md skills.

What this skill can do

We found nothing in the files we read that matches our rules. That does not prove the skill is safe: see the limits of static scanning.

Install

Paste this into your terminal. It downloads exactly the version we scanned, not whatever is newest.

if [ -e ~/.agents/skills/'outpatient-coverage-scope-judgment-assistant' ] || [ -L ~/.agents/skills/'outpatient-coverage-scope-judgment-assistant' ]; then echo 'A skill folder named outpatient-coverage-scope-judgment-assistant already exists — not replacing it' >&2; false; else d=$(mktemp -d) && git clone --quiet --filter=blob:none --no-checkout 'https://github.com/aifinlab/FinClaw' "$d" && git -C "$d" checkout --quiet '9e62862d1412157fa03ffd1f0b74969dcf0ed66c' -- 'skills/archive/outpatient-coverage-scope-judgment-assistant' && mkdir -p ~/.agents/skills && cp -R "$d"/'skills/archive/outpatient-coverage-scope-judgment-assistant' ~/.agents/skills/'outpatient-coverage-scope-judgment-assistant' && rm -rf "$d"; fi

Codex reads ~/.agents/skills directly. For Claude Code, Cursor, Copilot, Gemini CLI, Antigravity or OpenCode, also link it. For Claude Code: ln -s ~/.agents/skills/'outpatient-coverage-scope-judgment-assistant' ~/.claude/skills/'outpatient-coverage-scope-judgment-assistant' (other agents: ~/.cursor/skills, ~/.copilot/skills, ~/.gemini/skills, ~/.gemini/config/skills, ~/.config/opencode/skills). Or install through the finder skill, which does both.

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Score history

Date	Version	Score
2026-11-10	`9e62862`	100

Also found in

Identical copies of this skill exist at:

aifinlab/FinClaw/skills/outpatient-coverage-scope-judgment-assistant