medical-invoice-admin-audit

Medical invoice administrative audits verify patient identity, contract compliance, RIPS structure, DIAN invoicing, prior authorizations, and signed clinical history. This Skill applies the 27-rule DAMA-UK base to produce a complete admin_checklist_output.json with actionable outcomes.

The DAMA-UK rule base is a 27-rule validation framework applied to Colombian medical invoices to verify identity, consent, contractual data, RIPS structure, and cross-document consistency, ensuring administrative readiness before payment authorization.

Verifying RIPS structure and DIAN invoicing together requires an administrative audit that cross-references both standards. This Skill checks RIPS structure, DIAN invoicing, prior authorizations, and signed clinical history simultaneously against DAMA-UK rules.

Yes, you can resume a failed administrative audit. The Skill reloads inputs from metadata_input.json and case_evidence.json, rerunning the admin sub-agent to complete the admin_checklist_output.json without restarting the entire pipeline.

Yes, the administrative audit applies the SOAT variant rules when applicable. It adjusts the standard 27-rule DAMA-UK validation to match the specific regulatory requirements for SOAT-related Colombian medical invoices.

Required documents include patient identity verification, signed clinical history, prior authorizations, DIAN invoicing records, and valid RIPS files. The administrative audit checks all of these for cross-document consistency and filing timeliness before approval.