Evaluate healthcare workflows in Claude, from reviewing authorization requests and coding encounters to extracting clinical data and drafting trial protocols.
Claude for Healthcare is an experimental plugin for payer, provider, research and healthcare development work. It combines task-specific guidance with connectors for coverage policies, medical codes, research and patient records.
Describe your task to Claude: relevant skills load on demand. Contract analysis and batch note extraction use specialist workers through their workflows; you do not launch those workers yourself.
Provide the request and supporting clinical documents to assess medical necessity against coverage policies and prepare a decision package for qualified review. This workflow needs the CMS Coverage, ICD-10 Codes and NPI Registry connectors.
Ask Claude to identify diagnosis and procedure codes supported by a visit note or operative report. Diagnosis coding requires the ICD-10 Codes connector; without a CPT connector, proposed CPT codes need verification against your licensed CPT reference.
Supply Medicare or Medicaid claims in the skill's required database schema, along with the quarter and line of business. The workflow produces ranked referrals with supporting claims and rule citations for investigators; a flagged pattern does not establish fraud.
Ask which contracts contain a particular clause or how an amendment changes an obligation. The contracts skill reads files on the local filesystem and builds an answer with citations checked against the document text; scanned documents need its OCR dependency.
Define the fields you need from supplied notes, or retrieve notes through a test FHIR R4 endpoint. Extraction returns source passages and explicit nulls for missing information; terminology fields remain unvalidated when their required connector is unavailable. Secured FHIR access needs the endpoint and your organization's registered SMART client ID.
Start with a drug or device intervention and choose research on similar trials or a full protocol draft. The workflow gathers research and develops the draft in stages for stakeholder review.
Use the development reference when implementing FHIR R4 endpoints, resource validation, SMART authorization, search pagination or transaction bundles.
The plugin also configures hosted connections to CMS Coverage, ICD-10 Codes, NPI Registry, Clinical Trials and PubMed. Contracts Analyzer and FHIR run locally through Node.js. The agents listed below are internal workers selected by their parent workflows.
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Assess authorization requests against coverage policies using CMS Coverage, ICD-10 Codes and NPI Registry.
Select encounter diagnoses and verify billable codes through the ICD-10 Codes connector.
Assign CPT and HCPCS Level II codes; CPT proposals may need licensed-reference verification.
Screen Medicare or Medicaid claims and prepare cited referrals for investigation.
Retrieve records through a FHIR R4 connector and pass notes to structured extraction.
Extract requested fields with source passages, explicit nulls and separate validation checks.
Convert documents to text; binary-format extraction needs Bun and format-specific dependencies.
Answer questions across local contract files with citations checked against source text.
Research similar studies and draft clinical trial protocols for drugs or devices.
Guide FHIR R4 endpoint development, resource validation and SMART authorization.
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Read assigned contract documents and record findings through the local contracts engine.
In Claude Code, this worker is bundled with the healthcare plugin. Ask Claude a question about your local contract files; the contracts workflow starts this worker when it uses the local command-line engine. Do not invoke it directly.
Read assigned contract documents and record cited findings through Contracts Analyzer tools.
This worker is bundled with the healthcare plugin. Ask Claude a question about your contract files; the contracts workflow selects this worker when the engine is reached through MCP tools, including a bridged connection. Do not invoke it directly.
Extract one structured record from one clinical note without tool access.
This worker is bundled with the healthcare plugin. Ask Claude to extract specified fields from your notes; the clinical-note-extract batch workflow starts one worker per note. Each worker receives the note and schema, returns a record without tools, and leaves validation to the calling session.
Look up Medicare Part B coverage policies, including national and local coverage determinations.
Search and validate ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes.
Look up US healthcare providers in the National Provider Identifier registry.
Search ClinicalTrials.gov studies and retrieve trial details.
Search biomedical literature, retrieve abstracts and access full text available in PubMed Central.
Support contract questions with document extraction and citations checked against source text.
Access clinical records through SMART-on-FHIR R4 endpoints for test or sandbox evaluation.
Install the whole healthcare plugin in your Claude Code session. For its bundled local servers, have Node.js available on PATH: FHIR requires version 20 or newer, and Contracts Analyzer requires 22.13 or newer.
Add the healthcare marketplace. Enter this command inside Claude Code.
/plugin marketplace add anthropics/healthcareInstall the healthcare plugin from that marketplace. Enter this command in the same Claude Code session.
/plugin install healthcare@healthcareAsk Claude to check the bundled FHIR connector's status without connecting to an EHR.
A status response confirms that the bundled connector loaded; an unconfigured endpoint does not require an EHR login for this check. If the status tool is unavailable, check that the healthcare plugin is installed and Node.js is on PATH, then restart the session.
Connecting to an EHR is a separate task. For evaluation, choose a test or sandbox endpoint and follow the FHIR connection guide.