# Arclight Readiness Navigator (ChatGPT Plugin)

> Prepare for Medicare review

- Type: plugin
- Publisher: Arclight Action Public Benefit Corporation (official)
- Categories: Health & Fitness
- Website: https://chatgpt.com/plugins/plugins_6abd61cbd2148191a8dceb8261e8cf4e
- Open in ChatGPT: https://chatgpt.com/plugins/plugins_6abd61cbd2148191a8dceb8261e8cf4e
- Version: 0.3.0
- Listed: 2026-10-15

## About

Helps small practices and revenue cycle teams prepare for Medicare audits, prepayment denials, and fee-for-service appeals using de-identified or synthetic information. It triages notices, builds longitudinal wound-care evidence maps, separates internal corrective-action analysis from reviewer-facing work, compares denial rationales, and plans later appeal stages. It does not connect to or transmit data to Arclight, review identifiable records, submit appeals, or replace provider, compliance, or legal review.

## Install

1. **Add it in ChatGPT** Open Plugins in the ChatGPT sidebar (web or desktop), search for “Arclight Readiness Navigator” and select +. You'll be asked to sign in to any connected service on first use. Then type @ in a chat to call it.

## Skills

- **appeal-pathway-outlook**: Give an evidence-grounded readiness outlook for a de-identified Original Medicare fee-for-service audit or appeal across redetermination, QIC reconsideration, OMHA/ALJ, Appeals Council, and possible court review. Use when the user asks how far a case may need to go, what to prepare at each level, reversal likelihood, or whether specialist/counsel involvement is warranted. Do not invent precise odds or apply aggregate statistics without compatible denominators.
- **focused-appeal-response**: Build or revise a focused reviewer-facing response framework from a de-identified Medicare readiness map for an ADR, audit finding, prepayment denial, redetermination, QIC reconsideration, or OMHA/ALJ issue. Use after the notice, record evidence, and current authority are mapped. Produces a working external draft and attachment plan without dumping the internal vulnerability memo into the submission. Do not use to fabricate facts, hide requested material information, or guarantee reversal.
- **medicare-notice-triage**: Prepare a small practice or RCM team for a Medicare audit before a notice arrives, or triage a de-identified ADR, denial, overpayment, appeal, or WISeR notice into its program, deadlines, owners, and next steps. Also handles plugin support and questions about arranging human help. Use for readiness planning and notice routing, not a full evidence map, appeal draft, or outcome estimate.
- **rationale-drift-review**: Compare abstracted or de-identified Medicare decisions to prepare for the next review stage by detecting changed, added, abandoned, fragmented, or inconsistently applied denial rationales. Use when the user has two or more reviewer decisions, multiple related claims, or says the reason for denial keeps changing. Do not use for a standalone evidence map or to claim procedural invalidity without authority.
- **record-risk-corrective-action**: Create a candid internal-only readiness review from de-identified Medicare information, identifying documentation vulnerabilities, template or copy-forward problems, operational causes, corrective actions, and escalation needs. Use when a practice or RCM team wants to learn from an audit without automatically disclosing every weakness in the appeal. Do not use to conceal required facts, alter records, or draft the external response.
- **wound-care-evidence-map**: Build a de-identified wound-care evidence-readiness map for a Medicare audit or denial. Use for episode timelines, conservative-care history, wound measurements, product/application records, claim-line reconciliation, missing-evidence questions, and provider-validation lists. Do not use for a final appeal letter, legal conclusions, or invented clinical rationales.

## Example prompts

- "Help our small wound-care practice prepare for a Medicare audit without uploading patient records."
- "Triage this de-identified Medicare notice and build a readiness plan for deadlines, owners, and evidence."
- "Compare these abstracted denial rationales and show what to prepare before the next appeal level."

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Source: https://chatgptplugins.directory/plugins/arclight-readiness-navigator · Index: https://chatgptplugins.directory/llms.txt · Independent and community-run. Not affiliated with or endorsed by OpenAI. ChatGPT is a trademark of OpenAI.