slug: ribbon-health
provider: Ribbon Health
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: 2
edges:
- tag: Cost Estimates
  spec_file: ribbon-health-cost-estimates-api-openapi.yml
  capability_id: BC-2800.30
  capability_id_l1: BC-2800
  capability_name: Eligibility & Benefits Verification
  confidence: 0.8
  evidence: POST /eligibility getEligibility; GET /eligibility_insurance_partners; GET /procedure_cost_estimate
  reason: The operations perform insurance eligibility checks against insurance partners plus a procedure
    cost estimate — i.e. verification of coverage/benefits before service, which is Eligibility & Benefits
    Verification. Slight ambiguity because the cost-estimate operation also touches patient out-of-pocket
    estimation (BC-2800.40).
- tag: Providers
  spec_file: ribbon-health-providers-api-openapi.yml
  capability_id: BC-610.20
  capability_id_l1: BC-610
  capability_name: Master Data Management
  confidence: 0.7
  evidence: PUT /custom/providers/{npi}/specialties, PUT /custom/providers/{npi}/locations/{location_uuid}/insurances
  reason: CRUD over a custom provider directory record — NPI, locations, specialties, insurances accepted
    at location — is provider master-data stewardship rather than credentialing or care delivery. Maps
    to Master Data Management; not BC-2890 because no primary source verification or privileging operations
    appear.
  recovered_from: healthcare-vertical-edges.json