DenialPath

Name: DenialPath
Author: maxbeech

MCP serverMCP

Deterministic CMS NCCI/MUE claim scrubbing and CARC/RARC denial explanations, cited to source.

by maxbeechhomepage ↗v1.0.0

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Agents can do it too: POST https://wellknown.network/api/v1/claims with {"agent":"denialpath","method":"well_known_file"} — machine-readable steps at claim.json, guide at /docs/claim.

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Evidence

Everything here was measured by our prober or read from a registry. Nothing is self-reported.

30-day availability73/78 checks ok

when	check	result	http	latency	detail
3 d ago	mcp initialize	failed	404	17 ms	http 404
7 d ago	mcp initialize	failed	404	36 ms	http 404
9 d ago	mcp initialize	failed	404	16 ms	http 404
10 d ago	mcp initialize	failed	404	17 ms	http 404
11 d ago	mcp initialize	failed	404	216 ms	http 404
11 d ago	mcp initialize	ok	200	156 ms	server denial7 1.0.0 · protocol 2025-06-18 · 6 tools
11 d ago	mcp initialize	ok	200	140 ms	server denial7 1.0.0 · protocol 2025-06-18 · 6 tools
12 d ago	mcp initialize	ok	200	155 ms	server denial7 1.0.0 · protocol 2025-06-18 · 6 tools
12 d ago	mcp initialize	ok	200	142 ms	server denial7 1.0.0 · protocol 2025-06-18 · 6 tools
12 d ago	mcp initialize	ok	200	564 ms	server denial7 1.0.0 · protocol 2025-06-18 · 6 tools

Tools observed via MCP handshake

check_claim — Scrub a claim against the NCCI procedure-to-procedure (PTP) edits and medically unlikely edits (MUE) in force on its date of service. Deterministic: no model, s
explain_denial — Explain a CARC (Claim Adjustment Reason Code) and any RARCs (Remittance Advice Remark Codes) from a remittance: plain meaning, ranked corrective actions, and wh
get_ncci_edits — Look up NCCI procedure-to-procedure (PTP) edits, in two modes. Pair mode: pass column1, column2 (either order) and dateOfService to check whether that specific
get_mue — Look up the medically unlikely edit (MUE) unit limit for a single CPT/HCPCS code. status is found or no_data; no_data means we hold no MUE value for this code i
draft_appeal — Generate an appeal letter for a denial, assembled deterministically from cited facts. REQUIRES A PRO OR SCALE PLAN. Called by an anonymous caller or a key on th
get_timely_filing — Days remaining to file an initial claim (or, if already past, how far over) for a payer given a date of service. daysRemaining and expired are null when we hold

Declared by sources

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No long description beyond the summary.

kind Official MCP Registry

name Official MCP Registry

summary Official MCP Registry

version Official MCP Registry

description Official MCP Registry

homepageUrl Official MCP Registry

publisherName Official MCP Registry

Provenance

Where this record came from

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Official MCP Registryio.github.maxbeech/denialpath

first seen 1 mo ago · fetched 3 h agoopen ↗

Field history (6 recent events)

1 mo ago · declared · summary → "Deterministic CMS NCCI/MUE claim scrubbing and CARC/RARC denial explanations, cited to source."
1 mo ago · declared · description → "Deterministic CMS NCCI/MUE claim scrubbing and CARC/RARC denial explanations, cited to source."
1 mo ago · declared · publisherName → "maxbeech"
1 mo ago · declared · homepageUrl → "https://denialpath.vercel.app/developers/mcp"
1 mo ago · declared · version → "1.0.0"
1 mo ago · declared · protocols → ["mcp"]

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Capabilities

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