Automatedrcm Billing Mcp

A local MCP server giving AI assistants medical-billing tools: prior-auth checks, denial decoding, claim triage, appeal assessment and text de-identification, a

What you can do

Look up the endpoint catalog and free sample outputs before paying for anything, with no configuration needed. Check prior authorization for a CPT code and payer, returning requirement, criteria, documentation checklist, portal and turnaround. Decode claim denial CARC codes into plain-English meaning, appealability, next action and prevention. Triage unpaid claims into work buckets with risk flags, priority score, next action and deadline. Assess denied claims for appeal, fix or write-off, with deadline math, evidence checklist and a draft appeal letter. De-identify free text or healthcare text, masking names, emails, phones, SSNs, cards, IPs and addresses while preserving a date timeline.

When to use it

Useful for billing staff, RCM teams or developers building agents that need quick, deterministic answers on prior authorization, denial codes, unpaid-claim prioritization or appeal decisions, and for scrubbing text before it goes to a third-party model. Free tools let you evaluate it first.

Requirements

Runs locally via npx or from source, so Node.js and npm are needed. Free tools (catalog, free_samples) need no configuration. Paid tools require the X402_PRIVATE_KEY environment variable: a wallet private key holding USDC on Base mainnet, with no account or API key. Network access to the payment endpoint is required.