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claims_validate

Validate healthcare claims before submission to identify errors, missing fields, and code mismatches with fix suggestions.

Instructions

Pre-submission claims validation. Checks for errors, missing fields, code mismatches, and provides fix suggestions before you submit to the payer.

Input Schema

TableJSON Schema
NameRequiredDescriptionDefault
claimYesClaim data to validate
Behavior3/5

Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?

With no annotations provided, the description carries the full burden of behavioral disclosure. It describes the tool's function (validation with error checking and suggestions) and output behavior ('provides fix suggestions'), which is helpful. However, it doesn't disclose critical behavioral traits like whether this is a read-only operation, potential side effects, authentication requirements, rate limits, or error handling, leaving significant gaps for a mutation-like tool.

Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.

Conciseness5/5

Is the description appropriately sized, front-loaded, and free of redundancy?

The description is front-loaded and highly concise, consisting of two sentences that efficiently convey purpose and functionality without any wasted words. Every sentence earns its place by adding value, making it easy to parse and understand quickly.

Shorter descriptions cost fewer tokens and are easier for agents to parse. Every sentence should earn its place.

Completeness3/5

Given the tool's complexity, does the description cover enough for an agent to succeed on first attempt?

Given the tool's complexity (validation with nested objects), lack of annotations, and no output schema, the description is incomplete. It explains what the tool does but omits details about output format, error responses, or behavioral constraints. While concise, it doesn't fully compensate for the missing structured data, leaving gaps for an agent to use it effectively.

Complex tools with many parameters or behaviors need more documentation. Simple tools need less. This dimension scales expectations accordingly.

Parameters3/5

Does the description clarify parameter syntax, constraints, interactions, or defaults beyond what the schema provides?

Schema description coverage is 100%, with the 'claim' parameter well-documented in the schema. The description adds minimal semantic context beyond the schema by implying the tool validates 'claim' data, but it doesn't provide additional details about parameter usage, constraints, or examples. This meets the baseline of 3 when the schema does the heavy lifting.

Input schemas describe structure but not intent. Descriptions should explain non-obvious parameter relationships and valid value ranges.

Purpose5/5

Does the description clearly state what the tool does and how it differs from similar tools?

The description clearly states the tool's purpose with specific verbs ('Pre-submission claims validation', 'Checks for errors, missing fields, code mismatches', 'provides fix suggestions') and distinguishes it from siblings by focusing on pre-submission validation rather than code lookup, compliance auditing, or other functions. It explicitly mentions the target resource ('claims') and the timing ('before you submit to the payer').

Agents choose between tools based on descriptions. A clear purpose with a specific verb and resource helps agents select the right tool.

Usage Guidelines4/5

Does the description explain when to use this tool, when not to, or what alternatives exist?

The description provides clear context for when to use this tool ('Pre-submission', 'before you submit to the payer'), which implicitly distinguishes it from post-submission or non-validation tools. However, it doesn't explicitly mention when NOT to use it or name specific alternatives among the sibling tools (e.g., 'compliance_audit' or 'code_validate'), which would be needed for a score of 5.

Agents often have multiple tools that could apply. Explicit usage guidance like "use X instead of Y when Z" prevents misuse.

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