RCM Billing MCP 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:

FREE - 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

PRO ($29/mo) - 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

PRO+ ($39/mo) - 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 free government APIs. No PHI handled — no BAA required.