AutomatedRCM Billing MCP Server
Enables AI agents to perform medical-billing tasks like prior authorization checks, claim denial decoding, unpaid claim triage, appeal assessments, and PHI de-identification using deterministic rules engines with per-call payments via the x402 protocol.
README
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
git clone https://github.com/laureennicholson635/automatedrcm-billing-mcp
cd automatedrcm-billing-mcp
npm install
Claude Desktop / Claude Code config:
{
"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_demois 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.
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