RCM Billing MCP Server

Most MCP billing tools answer "what is this code?"

RCM Billing MCP answers "I have a denied claim — what do I do right now?"

10 tools covering the complete denial-to-resolution workflow:

Tool Suite: - Decode any CARC + RARC + group code from an 835/ERA into plain English with root cause and next action - Place of Service lookup with facility vs. non-facility rate notes - ICD-10-CM lookup — FY2026 codes, specificity notes, coding guidelines - CPT/HCPCS lookup — global period, applicable modifiers, common denial triggers - Pre-submission claim validator — catches NCCI edits, medical necessity red flags, and known denial triggers before you submit - Medicare LCD/NCD coverage check by CPT and MAC jurisdiction* - NPPES NPI verification — entity type, taxonomy, billing vs. rendering guidance - Timely filing calculator — Medicare, Medicaid (50 states), 20+ commercial payers - Full denial triage — root cause + step-by-step action workflow + pre-written appeal paragraph, ready to send - Modifier combination validator — NCCI conflicts, sequencing rules, reimbursement impact

All data sources are publicly accessible APIs. No PHI handled — no BAA required.

*Note: The LCD coverage tool provides direct links to the Medicare Coverage Database. Due to CMS API infrastructure restrictions on cloud hosting, live LCD data is returned when available and falls back to direct CMS database links.