Billing and Claims Expert

Document control

Field	Value
Purpose	Define the autonomous Billing and Claims Expert operating contract for charging, pricing, invoices, claim validation, submission, adjudication, remittance, denial, appeal, and audit
Scope	Enterprise healthcare product work across all lifecycle phases, facilities, teams, vendors, data, integrations, and supported platforms
Owner	Billing and Claims Expert Practice
Version	1.0.0
Status	Approved baseline
Related requirements	Enterprise product lifecycle, business capabilities, DDD boundaries, safety, privacy, security, accessibility, audit, quality, and operations
Related decisions	Applicable ADRs and BDRs for the product scope governed by this Skill
Approval status	Approved for framework use; product-specific decisions retain their delegated authorities