A side-by-side look at the Healthclaw Guardrails and Tebra MCP servers: transport, auth, tools, quality signals, and the config to install either one in Claude, Cursor, Windsurf or VS Code.
Verdict: choose Healthclaw Guardrails for biology & bioinformatics work over a hosted endpoint; choose Tebra for biology & bioinformatics as a local process. You can also run both side by side in one mcpServers block.
context_get, fhir_read, fhir_search.TEBRA_SOAP_USER, TEBRA_SOAP_PASSWORD, TEBRA_CUSTOMER_KEY.tebra_search_patients, tebra_get_patient, tebra_create_patient.Rows where the two servers differ are marked.
| Spec | ||
|---|---|---|
| Category | Biology & Bioinformatics | Biology & Bioinformatics |
| Quality signal | 63/100 · Good | 55/100 · Good |
| Install command | Confirmed | Confirmed |
| Transport | Remote HTTP/SSE | Local subprocess (stdio) |
| Auth | Not declared | Not declared |
| Pricing | Free | Not declared |
| Required env vars | None listed | TEBRA_SOAP_USERTEBRA_SOAP_PASSWORDTEBRA_CUSTOMER_KEY |
| Verified owner | Community listing | Community listing |
| GitHub stars | 31 | 1 |
| Directory activity | 4 views 0 installs 0 upvotes | 3 views 0 installs 0 upvotes |
| Tools | 27 | 47 |
| Full listing | View Healthclaw Guardrails | View Tebra |
context_getRetrieve a pre-built context envelope with patient-centric FHIR resources. Returns bounded, policy-stamped, time-limited context.fhir_readRead a specific FHIR resource by type and ID. Supports FHIR R4 US Core v9 stable resources and FHIR R6 ballot3 experimental resources. Returns redacted resource with PHI protection.fhir_searchSearch for FHIR resources. Supports FHIR R4 US Core v9 stable resources and FHIR R6 ballot3 experimental resources. Supports patient, code, status, _lastUpdated, _count, _sort parameters. Returns paginated, redacted Bundle.fhir_validateValidate a proposed FHIR R6 resource against structural rules. Returns OperationOutcome.questionnaire_populateSDC $populate — pre-fill a Questionnaire for a subject. Returns a QuestionnaireResponse. Read tier; mints a tenant token for non-public tenants.questionnaire_extractSDC $extract — extract FHIR resources from a completed QuestionnaireResponse into a transaction Bundle. Write tier; requires step-up authorization, including for dry_run=true previews.fhir_propose_writePropose a write — validates the resource and returns a preview. Does NOT commit. Write tier: step-up authorization is required and is supplied by the deployment as an X-Step-Up-Token header. You cannot obtain or pass it yourself. If it is absent this returns requires_step_up; tell the patient authorization is needed rather than attempting another route.fhir_commit_writeCommit a previously proposed write. Requires step-up authorization token. This is a destructive operation.fhir_statsCompute statistics (count, min, max, mean) over numeric Observation values. Standard FHIR $stats (since R4). Only supports valueQuantity. Filter by patient and/or code.fhir_interpret_labsInterpret lab Observations against reference ranges — flags each value low/normal/high/critical (HL7 v3 ObservationInterpretation) and returns clinician + consumer summaries. Decision support, not diagnosis. Read-tier. Response includes _meta.ui.resourceUri pointing to an embeddable trend timeline.care_gapsCheck which preventive-care screenings/immunizations a patient may be due for (blood pressure, cholesterol, colorectal/cervical/breast cancer screening, flu, diabetes A1c), from their own connected records. Decision support based on USPSTF/ACIP/ADA guidelines — not a diagnosis or directive. Response includes _meta.ui.resourceUri pointing to an embeddable review UI.guardrail_conformanceRun the guardrail conformance self-test on the connected HealthClaw deployment and return the graded scorecard across seven guardrail properties: PHI redaction, immutable audit, step-up auth, human-in-the-loop, tenant isolation, medical disclaimers, and error fidelity. Uses synthetic data only. Set fresh=true to force a new run instead of the cached result.tebra_search_patientsSearch patients by name, DOB range, insurance, practice, and more (16 server-side filters)tebra_get_patientGet full patient record (by Tebra ID or external ID) with cases, insurance policies, and authorizationstebra_create_patientRegister a new patient with demographics, insurance, and guarantortebra_update_patientUpdate patient demographics and contact infotebra_get_all_patientsBulk patient retrieval with pagination (for sync operations)tebra_get_appointmentsSearch appointments by date range, resource (provider), patient, status, locationtebra_get_appointment_detailGet full appointment detail including recurrence, group data, and resourcestebra_create_appointmentCreate an appointment (provider, location, start time + duration/end)tebra_update_appointmentUpdate or reschedule an existing appointmenttebra_update_appointment_statusChange only the status (Confirmed, CheckedIn, NoShow, Cancelled, ...)tebra_delete_appointmentPermanently delete an appointmenttebra_get_appointment_reasonsList configured appointment types/reasons for the practicePaste either block (or both) into your client config, e.g. claude_desktop_config.json or ~/.cursor/mcp.json. We only show a config when the install command is confirmed.
{
"mcpServers": {
"healthclaw-guardrails": {
"url": "https://mcp-server-production-5112.up.railway.app/mcp"
}
}
}
{
"mcpServers": {
"tebra": {
"command": "npx",
"args": [
"-y",
"tebra-mcp-server"
],
"env": {
"TEBRA_SOAP_USER": "YOUR_TEBRA_SOAP_USER_HERE",
"TEBRA_SOAP_PASSWORD": "YOUR_TEBRA_SOAP_PASSWORD_HERE",
"TEBRA_CUSTOMER_KEY": "YOUR_TEBRA_CUSTOMER_KEY_HERE"
}
}
}
}