MCP-Server

Med Bill Check

io.github.GoodTurnStudio/medbillcheck
Gesundheitswesen Recht & Compliance Öffentlich und erreichbar MCP 2026-07-28

Was dieses MCP kann

Compares US medical-bill charges with Medicare rates, identifies billing issues, provides hospital ownership information, and drafts dispute letters.

check_price
Compare a charge with Medicare's rate for one service
Compare a charge with Medicare's rate for one service. For when someone asks whether a charge is high or what Medicare pays, for example "I was charged $450 for a 99213 office visit in Texas, is that too high?" or "what does Medicare pay for an MRI of the knee?". Takes the billing code if they have it, otherwise the service in plain words as q. Returns Medicare's 2026 rate for the state (or the city's own pricing area when city is given) in medicare_2026, the amount providers typically billed in 2024, and how many times the Medicare rate the charge is. For care in a hospital, hospital_facility_2026 gives Medicare's national rate for the hospital's own facility fee and comparison.compared_with says what the charge was set against. Dental work has no Medicare rate and returns 404 with a pointer to a free dental cost source.
Nur Lesen Externer Zugriff Idempotent
Eingabeschema
{'type': 'object', 'required': [], 'properties': {'q': {'type': 'string', 'description': 'The service in plain words, used when there is no code, like "knee MRI" or "ER visit".'}, 'city': {'type': 'string', 'description': 'City, for states where Medicare pays big cities differently, like Houston, Chicago, Miami or Los Angeles. Other places use the rest-of-state rate.'}, 'code': {'type': 'string', 'description': 'Five-character CPT or HCPCS code from the bill, like 99213, 73721 or G0121.'}, 'state': {'type': 'string', 'description': 'US state name or two-letter code, like Texas or TX. Med Bill Check is for US bills; a UK place gets a short answer pointing to UK sources.'}, 'charged': {'type': 'number', 'maximum': 5000000, 'minimum': 1, 'description': 'The amount on the bill in US dollars, like 450.'}, 'setting': {'enum': ['office', 'facility'], 'type': 'string', 'description': 'Setting: office (clinic, office, imaging center) or facility (hospital or surgery center). Leave out to use the usual setting.'}, 'billed_by': {'enum': ['hospital', 'doctor'], 'type': 'string', 'description': "Whose bill the charge is on when the service was in a hospital: hospital (the hospital's own facility charge) or doctor (the doctor's or physician group's bill). Leave out if not known: the charge is then compared with both together."}}, 'additionalProperties': False}
check_whole_bill
Check several lines of an itemized bill at once
Check several lines of an itemized bill at once. For when someone reads out or pastes several lines from an itemized bill, for example "my ER bill has 99284 for $2,500, 85025 twice for $120 and 36415 three times, does anything look off?". Takes the lines as code, optional x and units, then the amount. Returns each line against Medicare's rate, totals, and questions_to_ask: repeated codes, units above Medicare's automated daily limit, the highest visit levels, hospital clinic facility fees and charges far above what providers typically bill. Lines of a hospital bill (any bill with an ER visit on it, or setting=facility) are compared with Medicare's hospital outpatient rate plus the doctor's part; each such line says compared_with.
Nur Lesen Externer Zugriff Idempotent
Eingabeschema
{'type': 'object', 'required': ['lines'], 'properties': {'city': {'type': 'string', 'description': 'City, for big cities with their own Medicare rates.'}, 'lines': {'type': 'string', 'description': 'Up to 15 bill lines separated by commas: code, then x and units if more than one, then the amount. Example: 99284:2500, 85025x2:120, 36415:45.'}, 'state': {'type': 'string', 'description': 'US state name or two-letter code.'}, 'setting': {'enum': ['office', 'facility'], 'type': 'string', 'description': 'Setting: office or facility. Leave out if not known.'}, 'billed_by': {'enum': ['hospital', 'doctor'], 'type': 'string', 'description': "Whose bill the charge is on when the service was in a hospital: hospital (the hospital's own facility charge) or doctor (the doctor's or physician group's bill). Leave out if not known: the charge is then compared with both together."}}, 'additionalProperties': False}
draft_bill_letter
Draft a letter to a billing office for the user to send
Draft a letter to a billing office for the user to send. For requests like "help me dispute this bill", "write a letter asking for an itemized bill", "can I ask for a discount?" or "how do I apply for charity care?". Returns a letter as plain text with [brackets] for anything not given, tips, and the user's No Surprises Act and Good Faith Estimate rights with official CMS links. It never sends anything.
Nur Lesen Externer Zugriff Idempotent
Eingabeschema
{'type': 'object', 'required': ['type'], 'properties': {'code': {'type': 'string', 'description': "Billing code of the charge. With amount, a dispute letter adds Medicare's benchmark (for a hospital charge, the hospital outpatient rate as well as the doctor's part)."}, 'date': {'type': 'string', 'description': 'Date of service.'}, 'name': {'type': 'string', 'description': 'Patient or account holder name.'}, 'type': {'enum': ['itemized', 'dispute', 'discount', 'assistance'], 'type': 'string', 'description': 'Type: itemized (ask for an itemized bill), dispute (ask for a charge to be reviewed), discount (prompt-pay or self-pay discount), or assistance (financial assistance or charity care).'}, 'state': {'type': 'string', 'description': 'US state, used for the benchmark in a dispute letter.'}, 'amount': {'type': 'number', 'maximum': 5000000, 'minimum': 1, 'description': 'Amount charged or balance due, in US dollars.'}, 'reason': {'type': 'string', 'description': 'A sentence on what the user wants checked, for a dispute letter.'}, 'account': {'type': 'string', 'description': 'Account or invoice number on the bill.'}, 'insured': {'enum': ['yes', 'no'], 'type': 'string', 'description': 'Set to no if paying without insurance (self-pay), for a discount letter.'}, 'service': {'type': 'string', 'description': 'The service in plain words.'}, 'setting': {'enum': ['office', 'facility'], 'type': 'string', 'description': 'Setting: office or facility (hospital or surgery center), for the benchmark in a dispute letter. ER visits and hospital clinic visits count as facility anyway.'}, 'provider': {'type': 'string', 'description': 'Hospital, clinic or provider name.'}, 'billed_by': {'enum': ['hospital', 'doctor'], 'type': 'string', 'description': "Whose bill the charge is on when the service was in a hospital: hospital (the hospital's own facility charge) or doctor (the doctor's or physician group's bill). Leave out if not known: the charge is then compared with both together."}}, 'additionalProperties': False}
look_up_hospital
Whether a hospital is nonprofit, for financial assistance
Whether a hospital is nonprofit, for financial assistance. For requests like "is St. Luke's in Boise a nonprofit?" or "does this hospital have to offer charity care?". Returns how Medicare lists the hospital's ownership (nonprofit, government, for-profit), its city and main phone number, and what that means for financial assistance. Nonprofit hospitals must have a financial assistance policy.
Nur Lesen Externer Zugriff Idempotent
Eingabeschema
{'type': 'object', 'required': ['name'], 'properties': {'city': {'type': 'string', 'description': 'City, to pick between hospitals with the same name.'}, 'name': {'type': 'string', 'description': "Hospital name as on the bill, like St. Luke's Regional Medical Center."}, 'state': {'type': 'string', 'description': 'US state name or two-letter code. Recommended, since many hospitals share names.'}}, 'additionalProperties': False}
search_services
Find billing codes and Medicare rates by plain words
Find billing codes and Medicare rates by plain words. For when someone describes a service but has no code, or asks what a code means, for example "what's the code for a colonoscopy?", "how much does Medicare pay for a chest x-ray in Ohio?" or "what is code 99214?". Returns up to eight matching codes with Medicare's typical allowed and billed amounts.
Nur Lesen Externer Zugriff Idempotent
Eingabeschema
{'type': 'object', 'required': ['q'], 'properties': {'q': {'type': 'string', 'description': 'Plain words or a code, like "hernia repair" or 99214.'}, 'state': {'type': 'string', 'description': 'US state name or two-letter code.'}}, 'additionalProperties': False}
Geändert
draft_bill_letter
1. October 2026 02:40
Geändert
look_up_hospital
1. October 2026 02:40
Geändert
check_whole_bill
1. October 2026 02:40
Geändert
search_services
1. October 2026 02:40
Geändert
check_price
1. October 2026 02:40
Hinzugefügt
draft_bill_letter
29. September 2026 02:40
Hinzugefügt
look_up_hospital
29. September 2026 02:40
Hinzugefügt
check_whole_bill
29. September 2026 02:40
Hinzugefügt
search_services
29. September 2026 02:40
Hinzugefügt
check_price
29. September 2026 02:40