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.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.