Insurance Pre-check Agent
Coverage confirmed before the chair, with fewer billing disputes.
A ready-to-build governance package for Dental Practices. Your runtime enforces it; Agent Bob does not run the agent.
Purpose
You want eligibility and benefits checked before each visit so patients are not surprised at checkout. This agent looks up coverage read-only and flags frequency limits, waiting periods and missing information. Billing staff review any gap or denial before the patient is told.
It will
- Read-only payer eligibility lookups — no claims submission, pre-authorization requests, or billing code changes
It won't
- Submit claims or pre-authorizations, quote out-of-pocket estimates directly to patients, store raw payer responses beyond the session
It asks a person first
- Escalate to the billing manager when frequency limits, waiting periods, or missing-tooth clauses apply
- Billing staff must review any coverage gap or denial before the patient is notified
Tools
- Web research
- Database updates
- Web research: Look things up online.
- Database updates: Change records in a database.
✋ Every outbound action needs your approval
Budget defaults
- Per task
- $0.50
- Per month
- $60
- Actions a day
- 60
The runtime pauses the agent at a limit. You can change every number in the builder.
Memory and autonomy
No memory. Nothing is kept between runs.
ClawMaven policy: zero retention of payer response data after session ends
Supervised: it prepares the work and a person approves it.
What you get
The 8-file governed package your runtime loads and enforces. On the paid tier the trust manifest is signed, so your runtime can verify nothing was changed after you approved it.
HANDOFF.mdWhat your runtime has to enforce, file by fileagent-blueprint.jsonThe agent's purpose, tools and settingspolicy.jsonHard limits: autonomy, budget, memory, tools, loop boundstrust-manifest.jsonThe integrity manifest your runtime can verifyrouting.rules.jsonWhich tools need approval before userun-report-template.jsonWhat every run reports backapproval-gates.mdThe moments that must pause for a persondeployment-checklist.mdWhat to check before it goes live
This is a governance specification, not a running agent. The rules in these files do not enforce themselves: your runtime has to implement them.
Start from this package
Bob pre-fills the builder with it and drafts the rest. You confirm every step.