Dental cost estimate (PPO)
estimate_dental_costEstimates what a PPO dental plan should pay and what the patient owes for planned treatment, applying the deductible left, coverage percentage per category (preventive, basic, major), any blocked lines and the yearly maximum left, the way insurers do. Send plan numbers and fees only: there is no field for, and you must not send, a patient's name, birth date, member ID or any date. Unknown fields are refused.
Tool call template
Replace each placeholder with a value matching the input schema. Only required parameters are included; add optional parameters as needed.
{
"id": 1,
"jsonrpc": "2.0",
"method": "tools/call",
"params": {
"arguments": {
"services": "<services>"
},
"name": "estimate_dental_cost"
}
}Input Schema
| Name | Required | Description | Default |
|---|---|---|---|
| services | Yes | The planned treatment, one item per service. | |
| in_network | No | True when the office is in the plan's network (default true). In network the allowed fee is the PPO fee; out of network the patient also owes the gap to the office's price. | |
| annual_max_left | No | Yearly maximum still available, in US dollars; null or leave out when the plan has none. | |
| deductible_left | No | Deductible still owed this plan year (default 0), in US dollars. | |
| coverage_percent | No | Percent the plan pays per category. Default preventive 100, basic 80, major 50. | |
| deductible_waived_for | No | Categories the deductible does not apply to. Default ["preventive"]. |