> ## Documentation Index
> Fetch the complete documentation index at: https://trainings.air.athelas.com/llms.txt
> Use this file to discover all available pages before exploring further.

# RCM AI Prompt Library

## Patient & Account Management

### Finding Patients

* "Find patient John Smith born 03/15/1985"
* "Search for patient with phone number (555) 123-4567"
* "Look up patient ID \[ID]"
* "Find patient Maria Garcia with DOB 07/22/1990"
* "Search for patient by last name Johnson"
* "Locate patient with member ID ABC123456"
* "Find patient Robert Chen born in 1975"
* "Search for patient with phone ending in 4567"
* "Look up patient Sarah Williams ID \[ID]"
* "Find patient with preferred name Mike instead of Michael"

### Patient Demographics & Insurance

* "Show me patient \[ID]'s demographics and insurance information"
* "Get all insurance details for patient John Smith"
* "What insurance does patient Maria Garcia have on file?"
* "Show me the complete profile for patient ID \[ID]"
* "Display demographics and coverage for patient Chen"
* "Get patient Williams' address and insurance information"
* "Show me all details for patient Anderson including insurances"
* "What's the primary insurance for patient Johnson?"
* "Display patient \[ID]'s contact information and coverage"
* "Get complete patient information for Garcia including all insurances"
* "Show me patient Smith's demographics and active insurance policies"
* "What insurance information do we have for patient ID \[ID]?"

### Account Analysis & Balance Breakdown

* "Show me the complete balance breakdown for patient John Smith"
* "Why does patient Maria Garcia have a balance?"
* "Analyze all charges and payments for patient Robert Chen from January to March 2024"
* "What credits does patient Sarah Williams have available?"
* "Show me the payment history for patient ID \[ID]"
* "Break down the outstanding balance for patient Johnson"
* "Explain the charges on patient Garcia's account from last month"
* "What's the total amount owed by patient Smith across all dates of service?"
* "Show me all unpaid charges for patient Chen from 2024"
* "Analyze the credit balance for patient Williams - why do they have a credit?"
* "Review all transactions for patient ID \[ID] in the last 6 months"
* "What's causing the high balance alert for patient Anderson?"
* "Show me the detailed breakdown of patient \[ID]'s charges from 01/01/2024 to 03/31/2024"
* "Analyze patient Garcia's credits history and current available credits"

### Patient Account Actions

* "Write off \$150 balance for patient John Smith - reason: financial hardship"
* "Refund \$75 cash payment for patient Maria Garcia - duplicate payment"
* "Update insurance information for patient Robert Chen - new policy number ABC123"
* "Write off \$200 for patient ID \[ID] due to billing error"
* "Process refund of \$50 credit card payment for patient Williams - overpayment"
* "Update patient Garcia's secondary insurance to Aetna"
* "Write off copay balance of \$25 for patient Smith - sliding fee patient"
* "Refund \$100 check payment for patient Chen - services not rendered"
* "Add new primary insurance for patient ID \[ID] - Blue Cross policy XYZ789"
* "Write off deductible amount of \$300 for patient Johnson - charity care"
* "Process partial refund of \$40 for patient Anderson - insurance adjustment"
* "Update group number for patient Williams' insurance to GRP456"
* "Create new insurance for patient \[ID] with Cigna policy number POL123"
* "Show me sliding fee history for patient Smith"

## Claims & Encounter Management

### Finding Encounters

* "Show me all encounters for patient John Smith in 2024"
* "Find encounters from 09/01/2024 to 09/30/2024 for Dr. Johnson"
* "List all denied encounters for patient Maria Garcia"
* "Show encounters for patient ID \[ID] from last month"
* "Find all encounters with Dr. Chen as rendering provider this week"
* "List encounters for patient Williams between 06/01/2024 and 08/31/2024"
* "Show me all pending encounters for patient Anderson"
* "Find encounters with billing errors from October 2024"
* "List all completed encounters for Dr. Smith from yesterday"
* "Show encounters for patient Garcia with secondary insurance claims"
* "Find all encounters awaiting primary insurance response"
* "List encounters for patient ID \[ID] with outstanding balances"
* "Show me encounters for provider ID \[ID] from last week"
* "Find all encounters with billing status issues"

### Encounter Details & Analysis

* "Get full details for encounter ID \[ID] including billing summary"
* "Show me the timeline for patient Smith's visit on 08/15/2024"
* "What's the current status of encounter \[ID]?"
* "Explain the denial reason for encounter \[ID]"
* "Show billing summary for encounter ID \[ID]"
* "What procedures were billed on encounter \[ID]?"
* "Review the claim history for encounter \[ID]"
* "Show me all diagnosis codes for encounter \[ID]"
* "What insurance was billed for encounter \[ID]?"
* "Explain the submission error on encounter \[ID]"
* "Show me the provider and facility for encounter \[ID]"
* "What's the total charge amount for encounter \[ID]?"
* "Review the payment posting for encounter \[ID]"
* "Get the date of service timeline for patient \[ID] on 2024-08-15"
* "Show me claim details for claim ID \[ID] with billing breakdown"

### EOB Processing

* "I want to create an EOB from this attached file"
* "Process EOB posting from the uploaded remittance file"
* "Create EOB from the insurance payment document I attached"
* "Upload and process this EOB file for payment posting"
* "I have an EOB file to process - can you handle it?"
* "Create EOB posting from the attached insurance remittance"
* "Process the EOB document I just uploaded"
* "Handle EOB creation from this insurance payment file"
* "I need to process an EOB from the attached document"
* "Create EOB posting from this remittance advice file"

## Appointment Operations

### Searching Appointments

* "Show me all appointments for Sarah Wilson today"
* "Find appointments for patient John Smith in October 2024"
* "List all cancelled appointments this week"
* "Show me no-show appointments from last month"
* "Find appointments for Dr. Johnson on 10/31/2024"
* "List all completed appointments for patient Garcia yesterday"
* "Show scheduled appointments for patient ID \[ID] next week"
* "Find all appointments at Main Street facility today"
* "List appointments for patient Chen between 09/01 and 09/30"
* "Show me all confirmed appointments for tomorrow"
* "Find physical therapy appointments for patient Williams"
* "List all appointments with Dr. Anderson this month"
* "Show me checked-in appointments for today"
* "Find appointments for patient Smith from 2024-10-01 to 2024-10-31"

### Appointment Analysis & Charges

* "What are the suggested charges for appointment ID \[ID]?"
* "Show me copay and coinsurance amounts for appointment \[ID]"
* "Analyze collections for all appointments on 10/15/2024"
* "What's the deductible amount for appointment \[ID]?"
* "Show suggested charges for patient Smith's appointment today"
* "Review copay collection for appointment ID \[ID]"
* "What insurance benefits apply to appointment \[ID]?"
* "Show me the sliding fee discount for appointment \[ID]"
* "Analyze pre-visit charges for appointment \[ID]"
* "What's the patient responsibility for appointment \[ID]?"
* "Review coinsurance calculation for appointment \[ID]"
* "Show me all charge suggestions for appointment \[ID]"
* "What payment is due at time of service for appointment \[ID]?"
* "Get suggestions and collections for appointments \[ID], \[ID], \[ID]"
* "Show me detailed charge breakdown with rules for appointment \[ID]"

### Appointment Types & Facilities

* "What appointment types are available at this site?"
* "Show me all facilities for this location"
* "Find facility information for Downtown location"
* "List all available appointment types for scheduling"
* "What facilities can I schedule appointments at?"
* "Show me facility details for Main Street location"
* "What are the different appointment types we offer?"
* "Find facility ID for the Westside clinic"
* "List all active facilities for patient scheduling"
* "What appointment types should I use for physical therapy?"

## Provider Management

### Finding Providers

* "Find provider Dr. Sarah Johnson"
* "Look up provider with NPI 1234567890"
* "Search for provider Michael Chen MD"
* "Find provider Dr. Maria Rodriguez"
* "Look up provider John Smith with NPI \[NPI]"
* "Search for provider Dr. Jennifer Williams"
* "Find provider Robert Anderson MD"
* "Look up provider with name David Lee"
* "Search for provider Dr. Lisa Brown"
* "Find provider with NPI 9876543210"

## Financial Operations & Reporting

### Payment Transaction Analysis

* "Show me payment transactions for patient \[ID] and responsibility requests \[ID], \[ID]"
* "Get detailed payment breakdown for patient Smith's recent charges"
* "List all transactions for patient \[ID] responsibility requests"
* "Show me refund history for patient Garcia"
* "Review payment transactions for patient \[ID] from last month"
* "Get transaction details for patient Chen's account"
* "Show me all payments and adjustments for patient \[ID]"
* "List payment transactions for responsibility requests \[ID], \[ID], \[ID]"
* "Review transaction history for patient Williams"
* "Show me payment methods used for patient \[ID]"

### Financial Adjustments & Refunds

* "Refund payment ledger \[ID] for \$100 via credit card - duplicate payment"
* "Process cash refund for ledger \[ID] amount \$50 - overpayment"
* "Refund check payment ledger \[ID] for \$75 - services cancelled"
* "Process Smart Pay refund for ledger \[ID] - billing error"
* "Refund ACH payment ledger \[ID] for \$200 - insurance covered"
* "Write off patient \[ID] balance for requests \[ID], \[ID] - financial hardship"
* "Process refund including fees for ledger \[ID]"
* "Write off \$150 for patient \[ID] - charity care adjustment"
* "Refund partial amount \$25 from ledger \[ID]"
* "Write off copay balance for patient \[ID] - sliding fee discount"

## Communication & Workflow Management

### Patient Statements & Messages

* "Show me patient statements config for email on 2024-10-31"
* "Get patient statements sent on 2024-10-30"
* "Show me text message statements config for today"
* "Review patient statements sent yesterday"
* "Get pre-visit text messages sent on 2024-10-31"
* "Show me workflow config for workflow \[ID] on 2024-10-31"
* "Review text message delivery status for 2024-10-30"
* "Get patient statement delivery report for last week"
* "Show me pre-visit message workflow \[ID] configuration"
* "Review statement sending history for October 2024"

## Navigation & System Actions

### Page Navigation

* "Take me to encounter \[ID] details"
* "Navigate to import error \[ID]"
* "Show me reports for revenue analysis this month"
* "Go to encounter \[ID] billing summary"
* "Navigate to patient \[ID] account details"
* "Take me to claim \[ID] details"
* "Show me reports for appointment scheduling patterns"
* "Go to encounter \[ID] for billing review"
* "Navigate to error \[ID] for resolution"
* "Take me to reports for payment analysis"

## Support & Troubleshooting

### Problem Investigation

* "Patient John Smith says they were double-charged - investigate their account"
* "Claim for encounter \[ID] was denied - show me the details"
* "Why does patient Maria Garcia have a credit balance?"
* "Patient Chen received a bill but says insurance should have paid - investigate"
* "Encounter \[ID] shows an error - what went wrong?"
* "Patient Williams was charged twice for the same visit - review account"
* "Why is encounter \[ID] still showing as pending after 30 days?"
* "Patient Anderson's insurance claim was rejected - explain why"
* "Investigate duplicate payments on patient Johnson's account"
* "Why does patient Garcia show a negative balance?"
* "Review billing discrepancy for patient Smith's October visits"
* "Patient Chen says they already paid but still received a bill - investigate"

### Support Ticket Creation

* "Create a support ticket for claim submission error on encounter \[ID]"
* "I need help with a complex insurance coordination issue for patient Garcia"
* "Submit support ticket for system error when processing payments"
* "Create ticket for encounter \[ID] that won't submit to insurance"
* "Need technical support for bulk claim submission failure"
* "Create support ticket for patient portal payment processing issue"
* "Submit ticket for insurance eligibility verification problems"
* "Need help with ERA posting errors for multiple encounters"
* "Create support ticket for sliding fee calculation discrepancies"
* "Submit ticket for appointment scheduling system integration issue"
* "Need assistance with custom report generation problems"
* "Create support ticket for patient statement delivery failures"
* "Get available support ticket forms for my request"
* "Show me fields for support ticket form \[ID]"

### Guidance & Documentation

* "Explain what CARC code 97 means for encounter \[ID]"
* "What steps should I take to resolve this denial?"
* "How do I handle a patient disputing their balance?"
* "What's the process for correcting a claim submission error?"
* "Explain the difference between encounter status and claim status"
* "How do I know when to submit to secondary vs tertiary insurance?"
* "What does 'pending recon' mean for an encounter?"
* "How should I handle a patient requesting a payment plan?"
* "What's the proper way to process an insurance overpayment?"
* "Explain when to use different procedure modifiers"
* "How do I handle coordination of benefits issues?"
* "What's the best practice for following up on unpaid claims?"
* "How do I set up sliding fee schedules for patients?"
* "What's the difference between copay and coinsurance?"