A side-by-side look at the Medicare Coverage and Mymedi AI MCP Server MCP servers: transport, auth, tools, quality signals, and the config to install either one in Claude, Cursor, Windsurf or VS Code.
Verdict: choose Medicare Coverage for biology & bioinformatics work as a local process; choose Mymedi AI MCP Server for biology & bioinformatics as a local process. You can also run both side by side in one mcpServers block.
medicare_ncd_search, medicare_ncd_detail, medicare_lcd_search.pa_required_check, denial_code_info, code_lookup_basic.Rows where the two servers differ are marked.
| Spec | ||
|---|---|---|
| Category | Biology & Bioinformatics | Biology & Bioinformatics |
| Quality signal | 55/100 · Good | 63/100 · Good |
| Install command | Confirmed | Confirmed |
| Transport | Local subprocess (stdio) | Local subprocess (stdio) |
| Auth | Not declared | API key required |
| Pricing | Not declared | Freemium |
| Required env vars | None listed | None listed |
| Verified owner | Community listing | Community listing |
| GitHub stars | 0 | 3 |
| Directory activity | 0 views 0 installs 0 upvotes | 6 views 0 installs 0 upvotes |
| Tools | 27 | 32 |
| Full listing | View Medicare Coverage | View Mymedi AI MCP Server |
medicare_ncd_searchANSWERS "does Medicare cover X" / "is X covered by Medicare" / "what is Medicare's coverage policy for X" — searches current Medicare National Coverage Determinations (NCDs), the national policy documents that say whether Medicare covers a drug, device, procedure or therapy. Search by everyday prod…medicare_ncd_detailRetrieve one official Medicare National Coverage Determination by CMS document ID and optional version, including covered indications, limitations, effective dates, benefit category, and revision text.medicare_lcd_searchSearch current final Medicare Local Coverage Determinations (LCDs), optionally restricted to a state. LCDs are contractor- and jurisdiction-specific and can differ across locations.medicare_lcd_detailRetrieve one Medicare LCD by document ID and version. Detailed LCD text requires a CMS license-agreement bearer token because documents may contain licensed AMA/ADA/AHA material; pass _licenseToken obtained directly from CMS after accepting those terms.medicare_nca_searchSearch National Coverage Analyses (NCAs) and Coverage Analyses for Labs (CALs), including open and completed CMS evidence reviews. An open analysis is a policy process, not a coverage decision.medicare_nca_detailRetrieve one CMS National Coverage Analysis by document ID, including request, issue, benefit category, dates, decision memo, and public-comment status when supplied by CMS.medicare_recent_coverage_changesRecently published or updated national Medicare coverage documents from CMS, including NCDs, NCAs, CALs, MEDCAC meetings, and technology assessments.medicare_coverage_statesList CMS Coverage API state identifiers used to scope local Medicare coverage searches.medicare_article_code_profileRetrieve one CMS Medicare Coverage Article with its CPT/HCPCS codes and contractor records. Licensed AMA/ADA/AHA content requires a caller-provided CMS license token. Code inclusion describes billing guidance, not guaranteed coverage or payment.medicare_local_coverage_variationCompare final LCD search matches across 1–15 states and Medicare Administrative Contractors. Different matching document counts or titles are policy signals, not proof of unequal beneficiary access or payment.medicare_coverage_timelineRetrieve official CMS version or revision history for a Medicare NCD, NCA, CAL, or LCD. Accepts either identifier CMS publishes for a coverage document: the public one that appears in the policy text and in every citation of it — an NCD section number such as 310.1 or 90.2, an NCA/CAL tracking numb…medicare_hcpcs_utilization_trendShow annual Medicare Physician & Other Practitioners national utilization and payment metrics for one HCPCS code. Claims are fee-for-service aggregates with suppression and methodology limits; they do not measure total US use, coverage, demand, or company revenue.pa_required_checkCheck whether a HCPCS code is on the CMS Required Prior Authorization List (42 CFR 414.234). Returns paRequired flag, category, nationwide-since date, and list version. Original Medicare FFS scope. Free, no API key required.denial_code_infoExplain a DME claim denial code (CARC). Returns title, meaning, common DME causes, fixes, appealability, and related codes. Free, no API key required.code_lookup_basicLook up basic metadata for a medical code: code, codeType, description, category, isActive. Basic metadata only — the paid code_lookup adds full metadata. Free, no API key required.reimbursement_basicLook up Medicare payment for a code. Returns the national PFS facility and non-facility payment (CMS RVU × conversion factor) for professional services, plus DMEPOS fee-schedule ranges (rental/purchase, min–max across state fees) for DME items like E/K/L codes. Free, no API key required.order_readiness_checklistBlank pre-delivery checklist for a HCPCS DMEPOS code: the universal standard written order (SWO) elements (42 CFR 410.38(d)), whether the code requires a face-to-face encounter and written order prior to delivery (F2F/WOPD), and whether it is on the Medicare Required Prior Authorization List. Requirement definitions only — PHI-free, never send patient data. Free, no API key required.modifier_advisorEditorial guidance on DMEPOS billing modifiers: the KX/GA/GY/GZ medical-necessity and liability family, RR/NU/UE rental-vs-purchase, capped-rental month markers (KH/KI/KJ), and RT/LT laterality. Pass a HCPCS code to scope guidance to that item's DMEPOS category, or a category directly; add a scenario phrase (e.g., "ABN on file", "bilateral") to surface the relevant modifiers. Original editorial content, not payer policy. PHI-free. Free, no API key required.code_lookupLook up a medical code (ICD-10, CPT, HCPCS). Returns description, category, active status, and related codes. For DMEPOS (HCPCS) codes it also returns a labeled fee schedule: per-modifier (RR/NU/UE) national min–max ranges, or — when a state is given — that state's exact non-rural and rural rates. Source: CMS DMEPOS Fee Schedule (DME26-B).code_lookup_batchLook up a list of medical codes (ICD-10, CPT, HCPCS) in one call. Per-item results mirror code_lookup (description, category, active status, related codes, DMEPOS fee schedule with optional state filter). Priced per code — $0.001 × number of codes, max 25 per call; the full charge is refunded automatically when every code misses.code_suggestSuggest ICD-10/CPT/HCPCS codes from a clinical description. Term-based search over the 90K-code CMS database, ranked by matched-term coverage and relevance. Works with natural sentences ("patient with obstructive sleep apnea prescribed CPAP"). Automatically refunds the call when nothing matches.code_validateValidate a medical code for correctness, active status, and context. Returns warnings and errors.code_validate_batchValidate a list of medical codes for correctness, active status, and optional date-of-service context in one call. Per-item results mirror code_validate (valid, active, warnings, errors, codeDetails). Priced per code — $0.005 × number of codes, max 25 per call. An invalid code is a billable answer (valid:false), same as the single validate.pa_predictPrior-authorization outlook for a procedure code. When a historical cohort of decided PAs exists (≥10), returns a data-driven approval rate with cohort size and confidence. When no cohort exists, returns the verifiable facts instead — CMS Required Prior Authorization List status, category, and published review timeframes — and explicitly reports that no probability was computed (the call is refunded on this path). Never fabricates a probability. Original Medicare FFS scope.Paste 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": {
"medicare-coverage": {
"command": "npx",
"args": [
"-y",
"@pipeworx/mcp-medicare-coverage"
]
}
}
}
{
"mcpServers": {
"mymedi-ai-mymedi-ai-mcp-server": {
"command": "npx",
"args": [
"-y",
"@mymedi-ai/mcp-server"
]
}
}
}