Summary
对理赔费用清单中所有费用项（含检查、手术、耗材、护理、药品、床位费等）进行逐项合理性审核，识别不符合诊断的费用、超标准收费、重复收费；同时审查处方药品与诊断匹配性，识别超适应症用药、剂量异常、配伍禁忌，结合医保目录与临床指南输出核减建议，生成医学审查报告。当用户要求审核理赔费用明细、核定住院费用合理性、识别超标准或重复…
aliyun/qwen-dianjin
insurance-claim-medical-review
Installation
$
npx skills add https://github.com/aliyun/qwen-dianjin
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npx skills add https://github.com/aliyun/qwen-dianjin
More details
Agent compatibility
Declared targets from SKILL.md / docs. Unmarked agents are not listed — the skill may still install via the CLI.
Claude Code
Not declared
Cursor
Not declared
Codex
Not declared
GitHub Copilot
Not declared
Windsurf
Not declared
Gemini CLI
Not declared
Cline
Not declared
OpenCode
Not declared
Repository health
Stars
604
License
LICENSES
Default branch
master
Open issues
2
Status
Active
History
- First seen on skills.sh
- First recorded snapshot · 6 installs