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Glama

DenialPath

by io.github.maxbeech
OverviewDiscussionsAdmin

Server Details

Deterministic CMS NCCI/MUE claim scrubbing and CARC/RARC denial explanations, cited to source.

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Status
Unhealthy
Uptime
80.6% over 55 days
Last Tested
Transport
Streamable HTTP
URL

TDQS

A4.2/5.0

Scored across 6 tools

Disambiguation5/5

Each tool targets a distinct function: claim checking, appeal drafting, denial explanation, MUE lookup, NCCI edits lookup, and timely filing. There is no overlap in purpose, and the descriptions make the boundaries clear.

Naming Consistency5/5

All tool names follow a consistent verb_noun pattern (check_claim, draft_appeal, explain_denial, get_mue, get_ncci_edits, get_timely_filing). The verbs are specific and the nouns are meaningful, creating a predictable and readable naming scheme.

Tool Count5/5

Six tools is well within the ideal range for a focused server. The count feels appropriate for the denial management domain, with each tool earning its place and no redundancy.

Completeness5/5

The toolset covers the full denial lifecycle: pre-claim checking (check_claim), denial explanation (explain_denial), appeal drafting (draft_appeal), and supporting lookups (get_mue, get_ncci_edits, get_timely_filing). No obvious gaps exist for the stated purpose.

Tool Schema Changelog

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

  1. 5 tool updates
    • Changedcheck_claim3 fields changed
      • changedInput schema / properties / dateOfService / description
        Previous value: -"ISO yyyy-mm-dd. Selects which CMS edit quarter applies."New value: +"ISO yyyy-mm-dd, e.g. \"2026-07-01\". Selects which CMS edit quarter applies."
      • addedInput schema / properties / dateOfService / format
        Added value: +"date"
      • addedInput schema / properties / dateOfService / pattern
        Added value: +"^\\d{4}-\\d{2}-\\d{2}$"
    • Changeddraft_appeal4 fields changed
      • changedInput schema / properties / dateOfService / description
        Previous value: -"Optional. Rendered as a placeholder if omitted."New value: +"Optional, ISO yyyy-mm-dd. Rendered as a placeholder if omitted."
      • addedInput schema / properties / dateOfService / format
        Added value: +"date"
      • addedInput schema / properties / dateOfService / pattern
        Added value: +"^\\d{4}-\\d{2}-\\d{2}$"
      • addedInput schema / properties / payerSlug / enum
        Added value: +[
+  "medicare",
+  "medicaid",
+  "aetna",
+  "cigna",
+  "unitedhealthcare",
+  "anthem-bcbs",
+  "bcbs-general",
+  "humana",
+  "kaiser-permanente",
+  "tricare",
+  "molina",
+  "centene-ambetter",
+  "oscar-health",
+  "bright-health",
+  "wellcare",
+  "highmark",
+  "horizon-bcbs",
+  "independence-blue-cross",
+  "emblemhealth",
+  "health-net"
+]
    • Changedexplain_denial1 field changed
      • addedInput schema / properties / payer / enum
        Added value: +[
+  "medicare",
+  "medicaid",
+  "aetna",
+  "cigna",
+  "unitedhealthcare",
+  "anthem-bcbs",
+  "bcbs-general",
+  "humana",
+  "kaiser-permanente",
+  "tricare",
+  "molina",
+  "centene-ambetter",
+  "oscar-health",
+  "bright-health",
+  "wellcare",
+  "highmark",
+  "horizon-bcbs",
+  "independence-blue-cross",
+  "emblemhealth",
+  "health-net"
+]
    • Changedget_ncci_edits7 fields changed
      • addedInput schema / oneOf
        Added value: +[
+  {
+    "required": [
+      "column1",
+      "column2",
+      "dateOfService"
+    ],
+    "title": "Pair mode: does this specific pair bundle on this date?"
+  },
+  {
+    "required": [
+      "code"
+    ],
+    "title": "List mode: every pair involving this code"
+  }
+]
      • changedInput schema / properties / code / description
        Previous value: -"List mode: a single code, returning every pair involving it."New value: +"List mode: a single code. Returns every pair in the dataset involving it, in either column, with no date filtering."
      • changedInput schema / properties / column1 / description
        Previous value: -"A CPT/HCPCS code. Pair mode: use with column2 and dateOfService."New value: +"Pair mode: a CPT/HCPCS code. Send with column2 and dateOfService. Column order does not matter; the response reports the pair in CMS column order."
      • changedInput schema / properties / column2 / description
        Previous value: -"The other code in the pair."New value: +"Pair mode: the other code in the pair."
      • changedInput schema / properties / dateOfService / description
        Previous value: -"ISO yyyy-mm-dd. Required in pair mode."New value: +"Pair mode, required: ISO yyyy-mm-dd, e.g. \"2026-07-01\". NCCI PTP edits are versioned quarterly, so a pair lookup cannot be answered without a date."
      • addedInput schema / properties / dateOfService / format
        Added value: +"date"
      • addedInput schema / properties / dateOfService / pattern
        Added value: +"^\\d{4}-\\d{2}-\\d{2}$"
    • Changedget_timely_filing4 fields changed
      • changedInput schema / properties / dateOfService / description
        Previous value: -"ISO yyyy-mm-dd."New value: +"ISO yyyy-mm-dd, e.g. \"2026-01-15\"."
      • addedInput schema / properties / dateOfService / format
        Added value: +"date"
      • addedInput schema / properties / dateOfService / pattern
        Added value: +"^\\d{4}-\\d{2}-\\d{2}$"
      • addedInput schema / properties / payer / enum
        Added value: +[
+  "medicare",
+  "medicaid",
+  "aetna",
+  "cigna",
+  "unitedhealthcare",
+  "anthem-bcbs",
+  "bcbs-general",
+  "humana",
+  "kaiser-permanente",
+  "tricare",
+  "molina",
+  "centene-ambetter",
+  "oscar-health",
+  "bright-health",
+  "wellcare",
+  "highmark",
+  "horizon-bcbs",
+  "independence-blue-cross",
+  "emblemhealth",
+  "health-net"
+]
  2. 6 tool updates
    • First observedcheck_claim
    • First observeddraft_appeal
    • First observedexplain_denial
    • First observedget_mue
    • First observedget_ncci_edits
    • First observedget_timely_filing

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