Verzi Health
Server Details
Medicare DME coverage by HCPCS code and date of service, with CMS citations and signed receipts.
- Status
- Healthy
- Last Tested
- Transport
- Streamable HTTP · MCP 2025-11-25
- URL
TDQS
Score is being calculated.
Available Tools
6 toolscheck_dme_coverageCheck Medicare DME coverage for a HCPCS codeRead-onlyIdempotentInspect
Look up Medicare coverage for one durable medical equipment (DME) HCPCS Level II code in a US state on a date of service. Returns the Local Coverage Determination (LCD) and policy articles in force on that date with CMS links, whether the code is on the Medicare prior authorization list, and the documentation-requirements status. Medicare fee-for-service DME only. Does not decide whether a specific claim will be paid. Codes only, no patient data.
| Name | Required | Description | Default |
|---|---|---|---|
| hcpcs | Yes | HCPCS Level II code, e.g. E0601 (CPAP), K0001 (wheelchair) | |
| state | Yes | Two-letter US state of the beneficiary or supplier, e.g. CO | |
| date_of_service | No | YYYY-MM-DD. Defaults to today. |
Output Schema
| Name | Required | Description |
|---|---|---|
| hcpcs | Yes | |
| state | No | |
| receipt | No | |
| upgrade | Yes | |
| citation | Yes | |
| coverage | Yes | |
| governing | Yes | |
| descriptor | No | |
| date_of_service | Yes | |
| prior_authorization | No | |
| documentation_requirements | Yes |
fetchFetch one Verzi Medicare coverage pageRead-onlyIdempotentInspect
Fetch one public Verzi page by id (code:E0601, lcd:L33718, article:A52467, or denials:E0601). Returns the page title, text, and verzi.health URL. No sign-in required. Codes only, no patient data.
| Name | Required | Description | Default |
|---|---|---|---|
| id | Yes | Page id: code:E0601, lcd:L33718, article:A52467, or denials:E0601 |
Output Schema
| Name | Required | Description |
|---|---|---|
| id | Yes | |
| url | Yes | |
| text | Yes | |
| title | Yes | |
| metadata | Yes |
get_documentation_requirementsList Medicare documentation requirements for a DME codeRead-onlyIdempotentInspect
For one DME HCPCS code and date of service, list the governing LCD and policy article names, CMS links, section headings, and how many requirements are extracted. An anonymous caller also gets one sample requirement. The rest of the passage text, and the denial sentences, require a plan that includes receipts, which also adds source proof: the archived file, the quote's position, the SHA-256, and the capture date. Returns an explicit gap when nothing is extracted. Codes only, no patient data.
| Name | Required | Description | Default |
|---|---|---|---|
| hcpcs | Yes | HCPCS Level II code, e.g. E0601 (CPAP), K0001 (wheelchair) | |
| state | No | Two-letter US state, e.g. CO. Optional. | |
| date_of_service | No | YYYY-MM-DD. Defaults to today. |
Output Schema
| Name | Required | Description |
|---|---|---|
| gap | No | |
| hcpcs | Yes | |
| state | No | |
| served | Yes | |
| denials | Yes | |
| documents | Yes | |
| requirements | Yes | |
| date_of_service | Yes |
list_data_sourcesList the datasets behind Verzi Medicare coverageRead-onlyIdempotentInspect
List every external dataset Verzi ingests, with license, update cadence, and last-loaded state. No sign-in required. No patient data.
| Name | Required | Description | Default |
|---|---|---|---|
No parameters | |||
Output Schema
| Name | Required | Description |
|---|---|---|
| result | Yes |
searchSearch Verzi Medicare coverage pagesRead-onlyIdempotentInspect
Search public Verzi pages for a HCPCS code, an LCD, an article, or denial language. Each result has an id, a title, and a verzi.health URL. No sign-in required. Codes only, no patient data.
| Name | Required | Description | Default |
|---|---|---|---|
| query | Yes | HCPCS code, LCD or article id, or words from a title. e.g. E0601 or L33718 |
Output Schema
| Name | Required | Description |
|---|---|---|
| results | Yes |
server_infoDescribe the Verzi Medicare coverage serverRead-onlyIdempotentInspect
Name, canonical endpoint, and support contact for this server. Says which tools need a plan that includes receipts. No sign-in required.
| Name | Required | Description | Default |
|---|---|---|---|
No parameters | |||
Output Schema
| Name | Required | Description |
|---|---|---|
No output parameters | ||
Tool Schema Changelog
Recent tool additions, removals, and schema changes observed during successful MCP inspections.
6 tool updates
- First observed
check_dme_coverage - First observed
fetch - First observed
get_documentation_requirements - First observed
list_data_sources - First observed
search - First observed
server_info
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