automatedrcm-billing-mcp

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
pii_scrub	De-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_demo	De-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 [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.