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io.github.laureennicholson635/automatedrcm-billing-mcp

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

Source code Documentation

Install

Add this to your client's MCP configuration (Claude Desktop: claude_desktop_config.json; Cursor: .cursor/mcp.json; VS Code and others use the same "mcpServers" shape).

NPM package automatedrcm-billing-mcp
Claude Code 
claude mcp add automatedrcm-billing-mcp -e 'X402_PRIVATE_KEY=<your x402_private_key>' -- npx -y automatedrcm-billing-mcp@1.0.0
JSON configuration (Claude Desktop, Cursor, VS Code) 
{
    "mcpServers": {
        "automatedrcm-billing-mcp": {
            "command": "npx",
            "args": [
                "-y",
                "automatedrcm-billing-mcp@1.0.0"
            ],
            "env": {
                "X402_PRIVATE_KEY": "<your x402_private_key>"
            }
        }
    }
}

Environment variables

  • X402_PRIVATE_KEY secret Optional. Private key of a wallet holding a little USDC on Base mainnet — enables the paid tools ($0.01–$1.50/call, gasless EIP-3009). Free tools (catalog, free_samples) work without it. Use a dedicated low-balance wallet.

Documentation

From the project's README on GitHub, refreshed weekly. Links open on GitHub.

Contents
  1. AutomatedRCM Billing Tools — MCP Server
  2. Tools
  3. Setup
  4. Rules of the road
  5. Who made this

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:

{
  "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_demo is 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.

Frequently asked questions

What is io.github.laureennicholson635/automatedrcm-billing-mcp?

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

How do I install io.github.laureennicholson635/automatedrcm-billing-mcp?

It runs on your machine. In Claude Code: claude mcp add automatedrcm-billing-mcp -e 'X402_PRIVATE_KEY=<your x402_private_key>' -- npx -y automatedrcm-billing-mcp@1.0.0. For other clients, paste the JSON configuration from this page into their MCP settings.

Does io.github.laureennicholson635/automatedrcm-billing-mcp need an API key?

Yes. It expects X402_PRIVATE_KEY, which you set in its configuration.

Is io.github.laureennicholson635/automatedrcm-billing-mcp open source?

Yes. Its code is on GitHub under the MIT license.

Who maintains io.github.laureennicholson635/automatedrcm-billing-mcp?

It is published by laureennicholson635. AI.tn lists it but does not maintain or endorse it.

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