DenialPath
io.github.maxbeech/denialpathDeterministic CMS NCCI/MUE claim scrubbing and CARC/RARC denial explanations, cited to source.
Tools · 6
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, so identical input always returns an iden…
Explain a CARC (Claim Adjustment Reason Code) and any RARCs (Remittance Advice Remark Codes) from a remittance: plain meaning, ranked corrective actions, and whether an appeal is worth filing. found:f…
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 pair bundles on that date; status is no_…
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 in our dataset, not that CMS publishes no…
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 the free plan, this returns an upgrade_req…
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 no published timely filing limit for th…
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How to use
Add to your Claude Desktop / Cursor / Cline MCP config:
{
"mcpServers": {
"denialpath": {
"url": "https://denialpath.vercel.app/api/mcp",
"transport": "streamable-http"
}
}
}