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 | | phi_scrub_demo | De-identify 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.