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Medical-billing tools for AI agents: prior-auth checks, denial decoding, claim triage, appeals.
About
Medical-billing tools for AI agents: prior-auth checks, denial decoding, claim triage, appeals.
Security Report
This is a legitimate medical-billing MCP server with reasonable security posture for its purpose. The server properly handles a sensitive private key (X402_PRIVATE_KEY) via environment variables rather than hardcoding, implements input validation via Zod schemas, and maintains a thin-client architecture that pushes sensitive computation server-side. Minor quality concerns around error handling and missing rate-limit defensive coding do not substantially undermine the security design. Supply chain analysis found 1 known vulnerability in dependencies (0 critical, 1 high severity). Package verification found 1 issue.
3 files analyzed · 7 issues found
Security scores are indicators to help you make informed decisions, not guarantees. Always review permissions before connecting any MCP server.
Permissions Required
This plugin requests these system permissions. Most are normal for its category.
What You'll Need
Set these up before or after installing:
Environment variable: X402_PRIVATE_KEY
How to Install
Add this to your MCP configuration file:
{
"mcpServers": {
"io-github-laureennicholson635-automatedrcm-billing-mcp": {
"env": {
"X402_PRIVATE_KEY": "your-x402-private-key-here"
},
"args": [
"-y",
"automatedrcm-billing-mcp"
],
"command": "npx"
}
}
}Documentation
View on GitHubFrom the project's GitHub 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
| Tool | What it does | Price |
|---|---|---|
catalog | List endpoints, prices, input shapes | Free |
free_samples | Real sample outputs on fixed inputs — try before you buy | Free |
pa_check | Prior-auth determination: CPT + payer → requirement, criteria, documentation checklist, portal, turnaround | $0.05 |
denial_decode | CARC code (CO-50, PR-204, …) → plain-English meaning, appealability, next action, prevention | $0.02 |
claim_triage | Unpaid claim → work bucket, risk flags, priority score, next action + deadline | $0.03 |
appeal_assessment | Denied claim → appeal/fix/write-off verdict, deadline math, evidence checklist, structured appeal-letter draft | $1.50 |
phi_scrub_demo | De-identify 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:
{
"mcpServers": {
"automatedrcm-billing": {
"command": "npx",
"args": ["-y", "automatedrcm-billing-mcp"],
"env": { "X402_PRIVATE_KEY": "0x..." }
}
}
}
Or from source:
git clone https://github.com/laureennicholson635/automatedrcm-billing-mcp
cd automatedrcm-billing-mcp
npm install
{
"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_demois for synthetic/test text only and stores nothing. Production de-identification runs licensed in your environment — contact laureennicholson@getautomatedrcm.com. - 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.
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