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_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.