slug: h1 provider: H1 generated_by: planning/capability-mapping/scripts/classify_capabilities.py model: claude-opus-5 frame: - Healthcare Providers min_confidence: 0.7 capability_model: source: https://github.com/vincentmakes/turbo-ea-capabilities license: CC-BY-4.0 attribution: Turbo EA Capabilities by Vincent Verdet — Turbo EA, https://github.com/vincentmakes/turbo-ea-capabilities, CC BY 4.0 notice: NOTICE edge_count: 1 edges: - tag: Cost Estimates spec_file: h1-cost-estimates-api-openapi.yml capability_id: BC-2800.30 capability_id_l1: BC-2800 capability_name: Eligibility & Benefits Verification confidence: 0.7 evidence: POST /eligibility getEligibility Check Member Eligibility; GET /procedure_cost_estimate getProcedureCostEstimate reason: Operations verify insurance member eligibility against supported insurance partners and return procedure cost estimates — pre-service patient access work. Majority of operations are eligibility verification, though the cost-estimate endpoint straddles financial counselling/estimation (BC-2800.40), hence 0.7.