healthsim-rxmembersim

Community

Simulate PBM pharmacy data for testing.

Authormark64oswald
Version1.0.0
Installs0

System Documentation

What problem does it solve?

This Skill enables realistic synthetic pharmacy data generation to test PBM systems, claims adjudication, and DUR logic without exposing real PHI.

Core Features & Use Cases

  • Generate RxMemberSim entities (RxMember, RxPlan, RxAccumulator, Prescription, PharmacyClaim) and associated responses for comprehensive PBM testing.
  • Model DUR alerts, formulary structures, prior authorizations, manufacturer programs, and copay dynamics across multiple cohorts.
  • Integrate with HealthSim cross-product workflows (PatientSim, MemberSim) for end-to-end testing of pharmacy and medical plans.

Quick Start

Use healthsim-rxmembersim to create a retail pharmacy fill and a corresponding NCPDP D.0 claim example; then export as JSON for API testing, or CSV/SQL for analytics.

Dependency Matrix

Required Modules

None required

Components

Standard package

💻 Claude Code Installation

Recommended: Let Claude install automatically. Simply copy and paste the text below to Claude Code.

Please help me install this Skill:
Name: healthsim-rxmembersim
Download link: https://github.com/mark64oswald/healthsim-agent/archive/main.zip#healthsim-rxmembersim

Please download this .zip file, extract it, and install it in the .claude/skills/ directory.
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