# io.github.laureennicholson635/automatedrcm-billing-mcp (npm · automatedrcm-billing-mcp)

Medical-billing tools for AI agents: prior-auth checks, denial decoding, claim triage, appeals.

- Trust score: 69/100 (medium)
- Registry status: active
- Liveness: live
- Owner verified: no
- Last scored: 2026-08-18

## Components

- npm · `automatedrcm-billing-mcp`: 69/100 (this document), [markdown](https://verifymcp.io/servers/laureennicholson635-automatedrcm-billing-mcp/automatedrcm-billing-mcp.md), [page](https://verifymcp.io/servers/laureennicholson635-automatedrcm-billing-mcp/automatedrcm-billing-mcp)

## Channel facts

- Registry: `npm`
- Package: `automatedrcm-billing-mcp`
- Version: `1.0.0`
- Transport: `stdio`

## Trust breakdown

How this component scores in each security and reliability category. Every signal is checked automatically from public evidence about the published package, including repeated runs of it in an isolated sandbox, and we only credit what we can confirm. Scores are 0–100 per category. Scoring method: https://verifymcp.io/docs/scoring (what has changed: https://verifymcp.io/docs/scoring/changelog)

Scored 2026-08-18.

- **Supply Chain Security**: 99/100
  - No malware found by supply-chain analysis.
  - No known CVEs affecting this package version or its production dependencies.
  - No install/post-install scripts declared.
  - 30 of 114 dependencies flagged as unhealthy.
- **Provenance & Transparency**: 45/100
  - Source repository is publicly reachable at the declared URL.
  - Provenance check failed: no build-provenance attestation is published.
  - Clear OSI-approved license (MIT).
  - Actively maintained (last published 0 days ago).
  - Disclosure check failed: no security disclosure policy was found in the source repository.
- **Schema Quality & AI Usability**: 76/100
  - AI-judged instruction clarity (good).
  - Tool/resource definitions use about 678 tokens (~96/item across 7 items; 7 tools + 0 resources), lean.
  - Usage-examples check failed: none of the tools include examples.
- **Stability & Change Management**: 0/100
  - Stability not yet verified: not enough scan history yet (needs a 30-day window).
- **Tool Coverage**: 100/100
  - 100% of tools have a non-trivial description (not blank, and not just the tool's name).
  - 100% of tool parameters carry a description.
- **Capabilities**: 100/100
  - Implements a supported MCP spec version (2025-11-25); the latest is 2026-07-28.

**Unverified: 1 category.** A category scored 0 because we could not verify it: a data source with nothing on this package, evidence we could not reach, or a check we could not run. We only credit what we can confirm.

## Install

### Claude

```bash
claude mcp add laureennicholson635-automatedrcm-billing-mcp -- npx -y automatedrcm-billing-mcp
```

### Codex

```bash
codex mcp add laureennicholson635-automatedrcm-billing-mcp -- npx -y automatedrcm-billing-mcp
```

### opencode

```json
{
  "$schema": "https://opencode.ai/config.json",
  "mcp": {
    "laureennicholson635-automatedrcm-billing-mcp": {
      "type": "local",
      "command": [
        "npx",
        "-y",
        "automatedrcm-billing-mcp"
      ],
      "enabled": true
    }
  }
}
```

### OpenClaw

```bash
openclaw mcp add laureennicholson635-automatedrcm-billing-mcp --command npx --arg -y --arg automatedrcm-billing-mcp
```

### Hermes

```yaml
mcp_servers:
  laureennicholson635-automatedrcm-billing-mcp:
    command: "npx"
    args: ["-y", "automatedrcm-billing-mcp"]
```

### Other

```json
{
  "mcpServers": {
    "laureennicholson635-automatedrcm-billing-mcp": {
      "command": "npx",
      "args": [
        "-y",
        "automatedrcm-billing-mcp"
      ]
    }
  }
}
```

## Changelog

Every change recorded for this component, newest first. Days that predate change tracking, or that we cannot explain, say so: "we were watching and nothing happened" and "we were not watching" are different claims.

### 2026-08-18 (score 69, +15)

- [security improvement] Malware scan: unverified → pass

### 2026-08-17 (score 54)

First indexed and scored.

## MCP tools (7)

### `catalog` (~25 tokens)

Free. List the AutomatedRCM billing-intelligence endpoints, prices, and input shapes.

### `free_samples` (~27 tokens)

Free. Real sample outputs from every paid endpoint on fixed example inputs — evaluate quality before paying.

### `pa_check` (~135 tokens)

Prior-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.

Input parameters:

- `cpt` (string, required): CPT/HCPCS procedure code, e.g. 29881
- `icd10` (string): Optional ICD-10 diagnosis code
- `payer` (string, required): Payer: UHC, AETNA, CIGNA, FLBLUE, HUMANA, MEDICARE, MEDICARE_ADV

### `denial_decode` (~73 tokens)

Decode 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.

Input parameters:

- `code` (string, required): CARC denial code, e.g. CO-50 or bare 50

### `claim_triage` (~155 tokens)

Triage 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.

Input parameters:

- `action_code` (string): RES|CPE|CRO|APP|PAY or empty string
- `balance` (number, required): Outstanding balance in USD
- `days_since_dos` (number, required): Days since date of service
- `days_since_last_touch` (number, required): Days since the claim was last worked
- `timely_filing_limit_days` (number): Default 365

### `appeal_assessment` (~153 tokens)

Full 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.

Input parameters:

- `balance` (number, required): Denied balance in USD
- `cpt` (string): Optional CPT — unlocks criteria-mapped arguments
- `days_since_denial` (number, required): Days since the denial posted
- `days_since_dos` (number): Optional days since date of service
- `denial_code` (string, required): CARC denial code, e.g. CO-50
- `payer` (string, required): US payer, e.g. UHC, MEDICARE

### `phi_scrub_demo` (~110 tokens)

De-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.

Input parameters:

- `text` (string, required): SYNTHETIC/TEST text to de-identify (2 KB max)

## Diagnostics

Captured diagnostic sections: Provenance, Dependencies. The full working is on the page: https://verifymcp.io/servers/laureennicholson635-automatedrcm-billing-mcp/automatedrcm-billing-mcp#diagnostics

## Score history

- 2026-08-18: 69
- 2026-08-17: 54

## Links

- npm package: https://www.npmjs.com/package/automatedrcm-billing-mcp
- Socket report: https://socket.dev/npm/package/automatedrcm-billing-mcp
- Repository: https://github.com/laureennicholson635/automatedrcm-billing-mcp
- Changelog RSS feed: https://verifymcp.io/servers/laureennicholson635-automatedrcm-billing-mcp/automatedrcm-billing-mcp.xml
- Changelog JSON feed: https://verifymcp.io/servers/laureennicholson635-automatedrcm-billing-mcp/automatedrcm-billing-mcp.json
- HTML version of this page: https://verifymcp.io/servers/laureennicholson635-automatedrcm-billing-mcp/automatedrcm-billing-mcp