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insurance-verification-mcp

v1.0.0

Published

9 days ago

AI-powered insurance verification MCP server for agents. Supports verify eligibility, prior authorization check, claim status. By MEOK AI Labs.

Downloads

120

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0Medium
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Insurance Verification

By MEOK AI Labs — Healthcare and general insurance automation

Installation

pip install insurance-verification-mcp

Usage

python server.py

Tools

`verify_eligibility`

Verify patient insurance eligibility including coverage dates and plan details.

Parameters:

patient_id (str): Patient identifier
policy_number (str): Insurance policy number
procedure_code (str): Procedure code to check

`prior_authorization_check`

Check if a medical procedure requires prior authorization from the insurer.

Parameters:

diagnosis_code (str): Diagnosis code
treatment (str): Treatment type (e.g. surgery, mri, specialist_visit)

`claim_status`

Check the status of an insurance claim including processing stage and expected dates.

Parameters:

claim_id (str): Claim identifier

`fraud_indicators`

Analyze a claim for potential fraud indicators and risk scoring.

Parameters:

claim_data (dict): Claim data including amount, provider_history_months, etc.

Authentication

Free tier: 15 calls/day. Upgrade at meok.ai/pricing for unlimited access.

License

MIT — MEOK AI Labs