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Medicare and commercial payer policies, prior auth, claim risk, and medical codes from Backwork.

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Status
Unhealthy
Uptime
6.0% over 22 days
OAuth
Requires browser extension
Last Tested
Transport
Streamable HTTP
URL
Repository
tylergibbs1/backwork-mcp
GitHub Stars
1
Server Listing
Backwork

TDQS

A4.2/5.0

Scored across 6 tools

Disambiguation3/5

backwork_coverage_lookup is an explicit aggregator that states it combines code lookup, policy evidence, prior-auth checks, claim-risk validation and jurisdiction comparison in one workflow, directly overlapping backwork_claim_validation, backwork_prior_auth_research and backwork_policy_research. Similarly, policy_research's 'reviewing policy changes' overlaps compliance_review's queue review. The detailed 'Use it when' guidance mitigates this, but an agent asking 'does this code need prior auth?' could reasonably pick either coverage_lookup or prior_auth_research.

Naming Consistency5/5

All six tools follow a single predictable pattern: backwork_ prefix plus snake_case noun_phrase (claim_validation, compliance_review, coverage_lookup, drug_formulary_research, policy_research, prior_auth_research). No style mixing whatsoever, and names map clearly to their domains.

Tool Count5/5

Six workflows for a broad domain (claims, compliance, coverage, formulary, policy, prior auth) is well-scoped. Descriptions indicate deliberate consolidation of endpoint-shaped calls into workflow tools, so each tool earns its place without excess granularity.

Completeness4/5

The surface covers the core research lifecycle: coverage lookup, claim-risk validation, policy search/compare, prior-auth checks with background research jobs, formulary evidence, and compliance queue review. Gaps are mostly intentional (no claim submission, no PHI/member-level lookup) and the read-only compliance tool has no queue-update action, which is a minor limitation.

Tool Schema Changelog

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

  1. 1 tool update
    • Changedbackwork_policy_research1 field changed
      • changedInput schema / properties / policy_id / maxLength
        Previous value: -80New value: +256
  2. 6 tool updates
    • First observedbackwork_claim_validation
    • First observedbackwork_compliance_review
    • First observedbackwork_coverage_lookup
    • First observedbackwork_drug_formulary_research
    • First observedbackwork_policy_research
    • First observedbackwork_prior_auth_research

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