Automatedrcm Billing MCP server
Medical-billing tools for AI agents: prior-auth checks, denial decoding, claim triage, appeals.
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If you have run it, two minutes of your experience saves the next person an afternoon.
Automatedrcm Billing tools (7)
write = sends, deletes, buys or postsRead from the package source without running it. The installed server may list more.
appeal_assessmentFull appeal verdict for a denied claim: appeal/fix/write-off decision, deadline math vs the payer's typical appeal window, evidence checklist, payer-specific arguments, and a structured appeal-letter draft. $1.50 per call.
catalogFree. List the AutomatedRCM billing-intelligence endpoints, prices, and input shapes.
claim_triageTriage an unpaid claim: given the follow-up action code (RES/CPE/CRO/APP/PAY or empty), balance, and claim ages, returns the work bucket (WORK_NOW/WAITING/REVIEW/COMPLETE), risk flags, priority score, and next action with deadline. $0.03 per call.
denial_decodeDecode a CARC claim-denial code (e.g. CO-50, PR-204): plain-English meaning, category, appealability, concrete next action, and prevention. $0.02 per call.
free_samplesFree. Real sample outputs from every paid endpoint on fixed example inputs — evaluate quality before paying.
pa_checkPrior-authorization determination for a CPT/HCPCS code + US payer (UHC, Aetna, Cigna, Florida Blue, Humana, Medicare, Medicare Advantage). Returns requirement, clinical criteria, documentation checklist, payer portal and turnaround. $0.05 per call.
phi_scrub_demoDe-identify healthcare text (DEMO — synthetic/test data ONLY, never real PHI). Strips names, DOBs, IDs, phones, addresses; dates become a derived interval timeline so filing-window math survives. Returns scrubbed text + token map. $0.01 per call. Production use runs in your own environment: laureennicholson@getautomatedrcm.com.
Public scan report
scanner v0.1.9 · 2026-09-23 · same rubric, same numbers if you re-run it
- Code scan2 source files scanned25/25
- –Live reliabilityno gateway calls yet and no remote to proben/a
- –Tool poisoningtools not inspected (local package is not executed); not countedn/a
- Auth qualitystatic API keys via environment variables6/15
- Maintenancelast push 37 days ago12/15
- Maintainer identityregistry namespace matches repository owner6/10
What the publisher says
From the Automatedrcm Billing repository's README, as published. We do not edit it. Read it on GitHub
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
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 X402PRIVATEKEY — 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; phiscrubdemo 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.
Nothing above is checked by us. What we check is on the safety report.
Install directly
Runs npx -y automatedrcm-billing-mcp on your machine. Read the scan report first; the gateway never runs local packages.
claude mcp add automatedrcm-billing-mcp -- npx -y automatedrcm-billing-mcp
Automatedrcm Billing: common questions
- Is Automatedrcm Billing MCP server safe?
- Mostly: it is graded B (75/100). Read the Automatedrcm Billing safety report
- How do I install Automatedrcm Billing?
- It runs on your machine. Copy the Claude Code, Claude Desktop or Cursor config from the install section.
- Does Automatedrcm Billing need an API key?
- Yes. The registry entry asks for
X402_PRIVATE_KEY. - Is Automatedrcm Billing maintained?
- The last commit was 37 days ago (2026-08-17). The latest release is v1.0.0.
- What can I use instead of Automatedrcm Billing?
- Servers from other publishers that do the same job: spintax.net MCP server, Prodcheck MCP server and MCP server. Compare all Automatedrcm Billing alternatives.
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