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espirado

Claims desk MCP Server

by espirado
OverviewSchemaRelated ServersScoreDiscussions
Python
Remote

Server Configuration

Describes the environment variables required to run the server.

NameRequiredDescriptionDefault
RCI_API_KEYNoOptional API key for RCI enrichment.
RCI_API_URLNoOptional API URL for RCI enrichment.

Instructions

Guidance the server publishes about itself, which clients place ahead of the tool catalog so the model reads it before choosing anything.

This server publishes no instructions, or was last inspected before Glama recorded them.

Capabilities

Features and capabilities supported by this server

Protocol revision2025-11-25

CapabilityDetails
tools
{
  "listChanged": false
}
prompts
{
  "listChanged": false
}
resources
{
  "subscribe": false,
  "listChanged": false
}
experimental
{}

Tools

Functions exposed to the LLM to take actions

NameDescription
review_claim_requirementsA

Resolve claim documentation requirements for a payer + CPT. Fetches live cataloged policy sources (CMS or payer) and optionally enriches from an RCI knowledge API when RCI_API_KEY is set. Returns structured requirements plus document URIs — never PDF/HTML bytes.

read_document_bytesA

App-only: stream a fetched policy document in base64 chunks (offset/length/hasMore). Used by the claims App to render source docs.

preview_pdf_pagesA

App-only: rasterize the first pages of a cited policy PDF for the reviewer.

list_policy_libraryA

List live CMS policy documents wired into this claims desk.

Prompts

Interactive templates invoked by user choice

NameDescription

No prompts

Resources

Contextual data attached and managed by the client

NameDescription
Claims deskInteractive claims reviewer UI (MCP App)
LCD L33618 — Major Joint Replacement (Hip and Knee)https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=33618&ver=23
Medicare Claims Processing Manual — Chapter 1, §70 timely filing (PDF)https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/clm104c01.pdf
Medicare Claims Processing Manual — Chapter 12 (PDF)https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/clm104c12.pdf
LCD L33718 — Positive Airway Pressure (PAP) Deviceshttps://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=33718
CMS Required Prior Authorization List (DMEPOS) (PDF)https://www.cms.gov/research-statistics-data-and-systems/monitoring-programs/medicare-ffs-compliance-programs/dmepos/downloads/dmepos_pa_required-prior-authorization-list.pdf
CMS DMEPOS prior authorization processhttps://www.cms.gov/data-research/monitoring-programs/medicare-fee-service-compliance-programs/prior-authorization-and-pre-claim-review-initiatives/prior-authorization-process-certain-durable-medical-equipment-prosthetics-orthotics-and-supplies
CMS — CMNs and DIFs discontinued (Jan. 1, 2023)https://www.cms.gov/newsroom/news-alert/cms-discontinuing-use-certificates-medical-necessity-and-durable-medical-equipment-information-forms
UHC Commercial / Individual Exchange — Radiology PA CPT list (PDF)https://www.uhcprovider.com/content/dam/provider/docs/public/prior-auth/radiology/COMM-Radiology-Prior-Notification-Authorization-CPT-Code-List.pdf
UHC Commercial / Individual Exchange — Outpatient radiology PA FAQ (PDF)https://www.uhcprovider.com/content/dam/provider/docs/public/prior-auth/radiology/COMM-Exchange-Radiology-Prior-Auth-FAQ.pdf

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