High risk
Done-for-you recommended
HIPAASOC2

Insurance Verification Agent

Coverage confirmed before the visit, with fewer denied claims.

A ready-to-build governance package for Healthcare. Your runtime enforces it; Agent Bob does not run the agent.

Purpose

You want coverage confirmed before each appointment so billing surprises stop. This agent checks payer eligibility read-only and flags gaps and prior-authorization needs. Billing staff review any denial before the patient is told.

It will

  • Read-only payer eligibility API — no claims submission

It won't

  • Submit claims, modify billing codes, store raw payer API responses beyond session

It asks a person first

  • Escalate to billing manager if prior-auth required
  • Human billing staff must review any coverage denial before patient notification

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
$0.75
Per month
$100
Actions a day
80

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.

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.md What your runtime has to enforce, file by file
  • agent-blueprint.json The agent's purpose, tools and settings
  • policy.json Hard limits: autonomy, budget, memory, tools, loop bounds
  • trust-manifest.json The integrity manifest your runtime can verify
  • routing.rules.json Which tools need approval before use
  • run-report-template.json What every run reports back
  • approval-gates.md The moments that must pause for a person
  • deployment-checklist.md What 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.

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