Automatedrcm Billing Mcp

io.github.laureennicholson635由 GitHub 账号 laureennicholson635 发布v1.0.0更新于 Oct 24, 2026

Medical-billing tools for AI agents: prior-auth checks, denial decoding, claim triage, appeals.

已验证STDIO仅桌面金融安全与监控

概览

AI 生成的概览

本地 MCP 服务器，为 AI 助手提供医疗账单工具：预授权核查、拒付代码解读、理赔分诊、申诉评估和文本去标识化。

可以做什么
无需配置即可查看接口目录和免费示例输出，先试用再付费。按 CPT 代码和付款方查询预授权，返回要求、标准、材料清单、门户和时限。将理赔拒付 CARC 代码解读为通俗含义、可申诉性、下一步操作和预防措施。将未付理赔分诊到工作队列，给出风险标记、优先级评分、下一步操作和截止日期。评估被拒理赔应申诉、修正还是核销，附截止日期计算、证据清单和申诉信草稿。对任意文本或医疗文本去标识化，遮蔽姓名、邮箱、电话、社保号、信用卡、IP 和地址，并保留日期时间线。
适用场景
适合账单人员、收入周期管理团队，或需要就预授权、拒付代码、未付理赔优先级和申诉决策获得快速确定性答案的智能体开发者，也适合在把文本发给第三方模型前做脱敏。可先用免费工具评估。
运行要求
通过 npx 或源码在本地运行，需要 Node.js 和 npm。免费工具（catalog、free_samples）无需配置。付费工具需要环境变量 X402_PRIVATE_KEY：一个在 Base 主网持有 USDC 的钱包私钥，无需账户或 API 密钥。需要访问支付端点的网络连接。
安装前请注意
付费工具按次以 USDC 收费（每次 0.01–1.50 美元），从 X402_PRIVATE_KEY 对应的钱包扣款；请使用专用的低余额钱包，切勿使用主钱包。服务器要求提供钱包私钥，属于高价值机密。切勿发送真实 PHI：付费接口只接受代码和数字，phi_scrub_demo 仅用于合成或测试文本。判定结果反映典型公开付款方政策，最终决定前应核实具体计划要求。

安装

在 SourceWeft 中

  1. 打开 控制台中的 Automatedrcm Billing Mcp，将其添加到工作区。
  2. 为需要使用其工具的对话启用该服务。

Desktop only，通过 STDIO。 STDIO 服务会启动本地进程，因此需要 SourceWeft 桌面宿主。

其他 MCP 客户端

参照 仓库 中的启动说明。

README

AutomatedRCM Billing Tools — MCP Server

Give your AI agent medical-billing intelligence in five minutes: prior-authorization determinations, claim-denial decoding, unpaid-claim triage, appeal assessments, and a PHI de-identification demo.

Built by AutomatedRCM — an AI-powered medical billing company run by a biller with 10 years in the field. The rules engines run server-side; every answer is deterministic (no LLM on the paid path, no PHI accepted). Also listed on Coinbase's x402 Bazaar.

Tools

ToolWhat it doesPrice
catalogList endpoints, prices, input shapesFree
free_samplesReal sample outputs on fixed inputs — try before you buyFree
pa_checkPrior-auth determination: CPT + payer → requirement, criteria, documentation checklist, portal, turnaround$0.05
denial_decodeCARC code (CO-50, PR-204, …) → plain-English meaning, appealability, next action, prevention$0.02
claim_triageUnpaid claim → work bucket, risk flags, priority score, next action + deadline$0.03
appeal_assessmentDenied claim → appeal/fix/write-off verdict, deadline math, evidence checklist, structured appeal-letter draft$1.50
pii_scrubDe-identify ANY text before it reaches a third-party LLM/API — names, emails, phones, SSNs, credit cards (Luhn), IPs, addresses, IDs; interval-preserving date timeline; token map for local restore$0.01
phi_scrub_demoDe-identify healthcare text (synthetic/test data ONLY) with interval-preserving date timeline$0.01

Payments use the x402 protocol — USDC on Base, settled per call, no account or API key.

Setup

Easiest — no install, straight from npm:

json
{  "mcpServers": {    "automatedrcm-billing": {      "command": "npx",      "args": ["-y", "automatedrcm-billing-mcp"],      "env": { "X402_PRIVATE_KEY": "0x..." }    }  }}

Or from source:

bash
git clone https://github.com/laureennicholson635/automatedrcm-billing-mcpcd automatedrcm-billing-mcpnpm install
json
{  "mcpServers": {    "automatedrcm-billing": {      "command": "node",      "args": ["/path/to/automatedrcm-billing-mcp/index.js"],      "env": { "X402_PRIVATE_KEY": "0x..." }    }  }}
  • Free tools (catalog, free_samples) work with no configuration.
  • Paid tools need X402_PRIVATE_KEY — a wallet private key holding a little USDC on Base mainnet ($1 covers ~30 mixed calls). Payments are gasless for the buyer (EIP-3009); the wallet needs USDC only, no ETH. Use a dedicated low-balance wallet, never your main one.

Rules of the road

  • Never send real PHI. Paid endpoints accept codes and numbers; phi_scrub_demo is for synthetic/test text only and stores nothing. Production de-identification runs licensed in your environment — contact [email protected].
  • Determinations reflect typical published payer policy; plan-level variations exist. Verify plan-specific requirements for final decisions.

Who made this

Laureen Nicholson — 10 years in medical billing, now building an AI-agent billing company in public. Live demos: Flow (claim journey) · WorkQueue · PHI Scrubber · marketplace stats. Want the full billing service or a white-label deal? getautomatedrcm.com.

来源：README.md，提交 c113909

工具

0
SourceWeft 尚未在沙箱中启动过该软件包，因此其工具未知。

版本历史

1
  1. v1.0.0最新Sep 16, 2026

评分

已满足适用检查项的 50%

该评分衡量此收录条目的完整程度，依据注册中心条目、端点与公开来源计算得出。它不是对服务器本身的评价，也不表示服务器安全或当前可用：可连通性是带日期的检查结果，评分也不包含安装量或用户评价。

  • 近 30 天内可连通25 分

    请保持端点能够响应 MCP 握手；SourceWeft 每 30 天探测一次。

  • 已声明认证方式10 分

    请在注册中心条目中声明凭据请求头，或保持端点能够响应探测，以便判定其认证方式。

  • 已列出工具15 分

    请让服务器在无凭据时响应 tools/list，或发布可在沙箱中无凭据启动的软件包。

  • 描述必需15 分
  • 图标10 分
  • 文档15 分
  • 许可证10 分