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Healthcare Exclusion Lookup

Screen a name against the OIG exclusion list (LEIE)

screen_exclusion
Read-onlyIdempotent

Screens one person or business name against a mirrored copy of the HHS-OIG List of Excluded Individuals/Entities (LEIE), the list of people and businesses excluded from Medicare, Medicaid and other federal health care programs. Person names match in any word order, with or without middle names or initials, suffixes (Jr, Sr, III), credentials (MD, RN), punctuation, hyphenated surnames, common nicknames and one-letter typos; business names match without company-form words (LLC, Inc, PC) and with abbreviations and small typos. Returns ranked possible matches with score, name, general category and specialty, city, state, ZIP, NPI when present, exclusion type with its meaning, exclusion date and any waiver, or a no-match result at the threshold, plus the list's as-of date. Optional state, NPI and date-of-birth filters narrow common names.

Input Schema

NameRequiredDescriptionDefault
dobNoOptional date of birth, YYYY-MM-DD. Used only to report whether it matches each record ("matches", or "no DOB on file"); records whose date of birth does not match are left out and counted. The date is not stored, and stored dates of birth are never returned.
npiNoOptional 10-digit National Provider Identifier. Records with a different NPI are left out and counted; records without an NPI (most of the list) are kept.
nameYesPerson ("Jane Q. Doe", "Doe, Jane", "Jane Doe RN") or business ("Acme Home Health LLC") to screen.
typeNoOptional: "individual" for a person, "entity" for a business. Default: both.
limitNoMaximum number of matches to return, 1 to 25 (default 5).
stateNoOptional U.S. state filter: two-letter code ("OH") or name ("Ohio"). Records in other states are left out and counted; records with no state are kept. The LEIE address is the one at the time of exclusion.
detailNo"summary" (default) returns the key fields; "full" adds UPIN, the exclusion kind and minimum period, and the middle-name comparison.summary
min_scoreNoSimilarity threshold from 0.5 to 1.0 (default 0.85). 1.0 = same first and last name (or business name) after normalization; lower values return weaker possible matches.

Schema Changelog

Changes observed during successful MCP inspections.

  1. First observed

TDQS

A4/5.0
Behavior4/5

Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?

Annotations already declare readOnly, idempotent, non-destructive and closed-world, so the safety bar is low. The description adds substantial behavior beyond that: exact normalization rules for people and businesses, the ranked-result fields, a no-match outcome at the threshold, the list's as-of date, and how filters drop and count records. It stops short of describing pagination or failure modes, keeping it at a 4.

Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.

Conciseness4/5

Is the description appropriately sized, front-loaded, and free of redundancy?

The definition leads with the action and the data source, then matching rules, then return fields, then filters — a sensible front-loaded order with no filler. The single long matching-rules sentence and the enumerated return fields are dense but each carries real information for the caller.

Shorter descriptions cost fewer tokens and are easier for agents to parse. Every sentence should earn its place.

Completeness5/5

Given the tool's complexity, does the description cover enough for an agent to succeed on first attempt?

With eight parameters, no output schema and no nested objects, the description carries the return-value burden itself and does so: it enumerates what a hit contains, describes the no-match case, and reports the as-of date. Combined with 100% schema coverage on inputs, an agent has enough to call and interpret it correctly.

Complex tools with many parameters or behaviors need more documentation. Simple tools need less. This dimension scales expectations accordingly.

Parameters3/5

Does the description clarify parameter syntax, constraints, interactions, or defaults beyond what the schema provides?

Schema coverage is 100% and the per-parameter descriptions are already detailed, so the baseline is 3. The description only adds a collective rationale — that state, NPI and date-of-birth filters exist to narrow common names — without adding syntax or semantics beyond the schema.

Input schemas describe structure but not intent. Descriptions should explain non-obvious parameter relationships and valid value ranges.

Purpose5/5

Does the description clearly state what the tool does and how it differs from similar tools?

The description names a specific verb and resource — screening one person or business name against the HHS-OIG LEIE — and spells out what the list is. The phrase 'Screens one ... name' implicitly scopes it to single-name lookups as opposed to the batch-sounding sibling screen_exclusions, so an agent can place it without opening the schema.

Agents choose between tools based on descriptions. A clear purpose with a specific verb and resource helps agents select the right tool.

Usage Guidelines3/5

Does the description explain when to use this tool, when not to, or what alternatives exist?

The screening context is clear and the closing sentence explains that state/NPI/DOB filters are for narrowing common names, which is genuine usage guidance. However, it never says when to prefer a sibling (e.g., screen_exclusions for batches or check_npi for pure NPI lookups) or when the tool is not appropriate.

Agents often have multiple tools that could apply. Explicit usage guidance like "use X instead of Y when Z" prevents misuse.

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