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Verzi Health

Server Details

Medicare DME coverage by HCPCS code and date of service, with CMS citations and signed receipts.

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Status
Healthy
Last Tested
Transport
Streamable HTTP · MCP 2025-11-25
URL

TDQS

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Available Tools

6 tools
check_dme_coverageCheck Medicare DME coverage for a HCPCS code
Read-onlyIdempotent
Inspect

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.

ParametersJSON Schema
NameRequiredDescriptionDefault
hcpcsYesHCPCS Level II code, e.g. E0601 (CPAP), K0001 (wheelchair)
stateYesTwo-letter US state of the beneficiary or supplier, e.g. CO
date_of_serviceNoYYYY-MM-DD. Defaults to today.

Output Schema

ParametersJSON Schema
NameRequiredDescription
hcpcsYes
stateNo
receiptNo
upgradeYes
citationYes
coverageYes
governingYes
descriptorNo
date_of_serviceYes
prior_authorizationNo
documentation_requirementsYes
fetchFetch one Verzi Medicare coverage page
Read-onlyIdempotent
Inspect

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.

ParametersJSON Schema
NameRequiredDescriptionDefault
idYesPage id: code:E0601, lcd:L33718, article:A52467, or denials:E0601

Output Schema

ParametersJSON Schema
NameRequiredDescription
idYes
urlYes
textYes
titleYes
metadataYes
get_documentation_requirementsList Medicare documentation requirements for a DME code
Read-onlyIdempotent
Inspect

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.

ParametersJSON Schema
NameRequiredDescriptionDefault
hcpcsYesHCPCS Level II code, e.g. E0601 (CPAP), K0001 (wheelchair)
stateNoTwo-letter US state, e.g. CO. Optional.
date_of_serviceNoYYYY-MM-DD. Defaults to today.

Output Schema

ParametersJSON Schema
NameRequiredDescription
gapNo
hcpcsYes
stateNo
servedYes
denialsYes
documentsYes
requirementsYes
date_of_serviceYes
list_data_sourcesList the datasets behind Verzi Medicare coverage
Read-onlyIdempotent
Inspect

List every external dataset Verzi ingests, with license, update cadence, and last-loaded state. No sign-in required. No patient data.

ParametersJSON Schema
NameRequiredDescriptionDefault

No parameters

Output Schema

ParametersJSON Schema
NameRequiredDescription
resultYes
server_infoDescribe the Verzi Medicare coverage server
Read-onlyIdempotent
Inspect

Name, canonical endpoint, and support contact for this server. Says which tools need a plan that includes receipts. No sign-in required.

ParametersJSON Schema
NameRequiredDescriptionDefault

No parameters

Output Schema

ParametersJSON Schema
NameRequiredDescription

No output parameters

Tool Schema Changelog

Recent tool additions, removals, and schema changes observed during successful MCP inspections.

  1. 6 tool updates
    • First observedcheck_dme_coverage
    • First observedfetch
    • First observedget_documentation_requirements
    • First observedlist_data_sources
    • First observedsearch
    • First observedserver_info

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