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:

config.json

{
  "mcpServers": {
    "automatedrcm-billing": {
      "command": "npx",
      "args": ["-y", "automatedrcm-billing-mcp"],
      "env": { "X402_PRIVATE_KEY": "0x..." }
    }
  }
}

Or from source:

bash

git clone https://github.com/laureennicholson635/automatedrcm-billing-mcp
cd automatedrcm-billing-mcp
npm install

config.json

{
  "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_demo is 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.