painprep-mcp-server

Server Quality Checklist

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Latest release: v1.0.0
Disambiguation5/5
Each tool has a clearly distinct purpose: CPT codes, procedure list, Medicare checklist, ICD-10 codes, contraindications, prior authorization letter, denial reasons, research evidence, and documentation completeness audit. No two tools overlap in functionality.
Naming Consistency4/5
The majority of tools follow a 'get_' + noun pattern (e.g., get_cpt_codes, get_procedure_list). The only exception is check_documentation_completeness, which uses a different verb. This is a minor inconsistency but still readable.
Tool Count5/5
With 9 tools, the surface is well-scoped for the domain of interventional pain medicine procedure preparation. Each tool addresses a specific clinical or administrative need without being overwhelming.
Completeness4/5
The tool set covers key workflow steps: coding, documentation requirements, contraindications, prior authorization, denial management, and evidence. Minor gaps exist (e.g., no tool for payer-specific policies or patient education materials), but core operations are present.
Average 4.1/5 across 9 of 9 tools scored. Lowest: 3.3/5.
See the Tool Scores section below for per-tool breakdowns.
- No community issues in the last 6 months
- 5 commits in the last 12 weeks
- No stable releases found
- No critical vulnerability alerts
- No high-severity vulnerability alerts
- No code scanning findings
- CI status not available
This repository is licensed under MIT License.
This repository includes a README.md file.
No tool usage detected in the last 30 days. Usage tracking helps demonstrate server value.
Tip: use the "Try in Browser" feature on the server page to seed initial usage.
This repository includes a glama.json configuration file.
If you are the author, simply .
If the server belongs to an organization, first add glama.json to the root of your repository:
```
{
  "$schema": "https://glama.ai/mcp/schemas/server.json",
  "maintainers": [
    "your-github-username"
  ]
}
```
Then . Browse examples.
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How is the quality score calculated?

The overall quality score combines two components: Tool Definition Quality (70%) and Server Coherence (30%).

Tool Definition Quality measures how well each tool describes itself to AI agents. Every tool is scored 1–5 across six dimensions: Purpose Clarity (25%), Usage Guidelines (20%), Behavioral Transparency (20%), Parameter Semantics (15%), Conciseness & Structure (10%), and Contextual Completeness (10%). The server-level definition quality score is calculated as 60% mean TDQS + 40% minimum TDQS, so a single poorly described tool pulls the score down.

Server Coherence evaluates how well the tools work together as a set, scoring four dimensions equally: Disambiguation (can agents tell tools apart?), Naming Consistency, Tool Count Appropriateness, and Completeness (are there gaps in the tool surface?).

Tiers are derived from the overall score: A (≥3.5), B (≥3.0), C (≥2.0), D (≥1.0), F (<1.0). B and above is considered passing.

Tool Scores

Behavior1/5
Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?
The description claims the tool 'generates' a letter, which is a write operation, but annotations declare readOnlyHint=true. This is a direct contradiction. The description does not clarify side effects, idempotency, or other behavioral traits beyond the fill-in blank note.
Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.
Conciseness5/5
Is the description appropriately sized, front-loaded, and free of redundancy?
The description is a single focused paragraph with no unnecessary words. It front-loads the primary action and adds key behavioral notes concisely.
Shorter descriptions cost fewer tokens and are easier for agents to parse. Every sentence should earn its place.
Completeness3/5
Given the tool's complexity, does the description cover enough for an agent to succeed on first attempt?
For a tool with 15 parameters and no output schema, the description covers the generation process and behavior of unspecified fields, but lacks details on return format, synchronization, or limitations. The mention of 'PREMIUM tier' hints at access constraints but is not fleshed out.
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% with detailed parameter descriptions. The description adds general context (merging details, fill-in blanks, worksheet) but does not enhance understanding of individual parameters beyond what the schema already provides.
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 clearly states it generates a prior-authorization/medical-necessity letter, specifying it is payer-ready and merges supplied details with CPT codes, ICD-10, etc. This unambiguously distinguishes it from sibling tools that retrieve codes or checklists.
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 description implies use when a formal letter is needed, but does not explicitly state when to use this tool versus alternatives like get_cpt_codes or get_icd10_codes. No when-not or exclusion guidance is provided.
Agents often have multiple tools that could apply. Explicit usage guidance like "use X instead of Y when Z" prevents misuse.
Behavior3/5
Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?
Annotations already declare readOnlyHint=true, so the description's audit role matches. The 'PREMIUM tier' note adds minor context about access, but no additional behavioral traits are disclosed.
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 description is two sentences, front-loaded with core purpose. The 'PREMIUM tier' could be considered unnecessary but does not detract significantly.
Shorter descriptions cost fewer tokens and are easier for agents to parse. Every sentence should earn its place.
Completeness4/5
Given the tool's complexity, does the description cover enough for an agent to succeed on first attempt?
Given no output schema, the description adequately lists the outputs (satisfied, missing, spotlight, completeness score). It could detail return format but is sufficient for an audit tool.
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 description adds no new meaning beyond what the schema provides for 'procedure' and 'documented'. Baseline of 3 is appropriate.
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 uses a specific verb 'audits' and clearly identifies the resource ('note against Medicare required-documentation checklist'), distinguishing it from siblings like get_medicare_checklist which merely returns the checklist.
Agents choose between tools based on descriptions. A clear purpose with a specific verb and resource helps agents select the right tool.
Usage Guidelines4/5
Does the description explain when to use this tool, when not to, or what alternatives exist?
The description states the tool is used 'Given a procedure and the list of items already documented in the chart,' providing clear context. It lacks explicit when-not-to-use or alternatives, but the purpose is well-defined.
Agents often have multiple tools that could apply. Explicit usage guidance like "use X instead of Y when Z" prevents misuse.
Behavior4/5
Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?
Annotations already indicate readOnlyHint=true, making it a safe read operation. The description adds behavioral details: it returns approved/supportive codes, avoidance codes, and tips. The 'PREMIUM tier' note hints at access restrictions but is not fully explained. No contradiction with annotations.
Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.
Conciseness5/5
Is the description appropriately sized, front-loaded, and free of redundancy?
The description is a single, dense sentence that conveys the input, output components, and tier. No unnecessary words, perfectly concise for its purpose.
Shorter descriptions cost fewer tokens and are easier for agents to parse. Every sentence should earn its place.
Completeness4/5
Given the tool's complexity, does the description cover enough for an agent to succeed on first attempt?
Given the single parameter and no output schema, the description adequately outlines the output (codes, avoidance codes, tips). It could be more precise about the output format (e.g., list vs. structured), but it covers the essential information needed for an agent.
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% with the parameter 'procedure' described as 'Procedure name, id, or CPT code.' The description does not add any additional parameter semantics beyond the schema, so the baseline score of 3 is appropriate.
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 clearly states the tool returns ICD-10 diagnosis codes, codes to avoid, and coding tips for a given procedure. It distinguishes itself from siblings like get_cpt_codes (CPT codes) and get_contraindications.
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 description implies usage for obtaining ICD-10 codes, but lacks explicit guidance on when to use this vs. alternatives (e.g., when not to use, or when to use siblings). The context from sibling names provides some differentiation, but the description itself does not.
Agents often have multiple tools that could apply. Explicit usage guidance like "use X instead of Y when Z" prevents misuse.
Behavior4/5
Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?
Annotations already declare readOnlyHint=true, so the description adds value by specifying the return structure (grouped by category, fields included) and optional filtering. No contradiction, and the description provides useful behavioral context beyond annotations.
Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.
Conciseness5/5
Is the description appropriately sized, front-loaded, and free of redundancy?
Two sentences: first states primary purpose and return content, second mentions optional filter and tier. Front-loaded, no unnecessary detail, every sentence earns its place.
Shorter descriptions cost fewer tokens and are easier for agents to parse. Every sentence should earn its place.
Completeness4/5
Given the tool's complexity, does the description cover enough for an agent to succeed on first attempt?
For a simple catalog list with one optional parameter and no output schema, the description covers return fields, grouping, and filtering. It could mention whether results are paginated or limited, but given openWorldHint=false, a static catalog is implied.
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 description repeats the schema's parameter description ('filter by a category id or name'). No additional semantics are added beyond what the schema provides, so baseline of 3 is appropriate.
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 clearly states the tool returns a catalog of interventional pain medicine procedures, grouped by category, with specific fields (id, name, CPT codes). It distinguishes from sibling tools like get_cpt_codes which return code lists, not procedure catalogs.
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 description implies use for getting procedure IDs to use with other tools, but does not explicitly state when to use this tool versus siblings like get_cpt_codes or get_icd10_codes. No when-not or alternative guidance is provided.
Agents often have multiple tools that could apply. Explicit usage guidance like "use X instead of Y when Z" prevents misuse.
Behavior4/5
Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?
Annotations already declare readOnlyHint=true, indicating a safe read operation. The description adds valuable behavioral context: it returns specific checklist components and mentions 'PREMIUM tier' (hinting at access restrictions). This goes beyond annotations without contradicting them.
Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.
Conciseness5/5
Is the description appropriately sized, front-loaded, and free of redundancy?
The description is two sentences with no redundancy, efficiently listing output categories. It front-loads the trigger ('Given a procedure') and packs dense information without unnecessary details.
Shorter descriptions cost fewer tokens and are easier for agents to parse. Every sentence should earn its place.
Completeness4/5
Given the tool's complexity, does the description cover enough for an agent to succeed on first attempt?
Given no output schema, the description covers the main output components (items, rationale, wording, denial triggers, admin checks, missed items). It provides sufficient context for an agent to understand the tool's return value, though specific structure details are absent.
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 description coverage is 100% with a single 'procedure' parameter fully described. The description does not add additional semantic nuance beyond the schema, so baseline 3 is appropriate.
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 clearly states the tool returns a comprehensive Medicare/LCD documentation checklist for a given procedure, listing specific content like required items, rationale, chart wording, denial triggers, and admin checks. It distinguishes itself from sibling tools by specifying its comprehensive checklist nature.
Agents choose between tools based on descriptions. A clear purpose with a specific verb and resource helps agents select the right tool.
Usage Guidelines4/5
Does the description explain when to use this tool, when not to, or what alternatives exist?
The description implies usage when needing a checklist for a procedure ('Given a procedure'), but lacks explicit guidance on when not to use or alternatives among siblings like check_documentation_completeness or get_denial_reasons. The sibling list is diverse, so the purpose is clear enough for selection.
Agents often have multiple tools that could apply. Explicit usage guidance like "use X instead of Y when Z" prevents misuse.
Behavior4/5
Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?
Annotations already indicate readOnlyHint=true, so no contradiction. The description adds value by specifying that the tool includes guidance per agent, special considerations, and safety checks, and notes it is PREMIUM tier. It also warns that output should be verified, which is a useful behavioral disclosure.
Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.
Conciseness5/5
Is the description appropriately sized, front-loaded, and free of redundancy?
Description is two sentences: the first clearly lists what the tool returns, the second provides an important caveat and tier. No wasted words, front-loaded with key information.
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?
Given the tool's simplicity (one parameter, read-only, no output schema), the description covers all essential aspects: what it returns, the requirement to verify against guidelines, and the premium tier. Completeness is high for this context.
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 schema already describes the 'procedure' parameter as 'Procedure name, id, or CPT code.' The tool description merely says 'Given a procedure,' adding no new meaning 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 states that the tool returns bleeding-risk level and ASRA-aligned anticoagulant guidance for a given procedure, with a specific verb and resource. It clearly distinguishes from sibling tools like get_cpt_codes or get_procedure_list through its unique focus on anticoagulation guidance.
Agents choose between tools based on descriptions. A clear purpose with a specific verb and resource helps agents select the right tool.
Usage Guidelines4/5
Does the description explain when to use this tool, when not to, or what alternatives exist?
The description implicitly advises using this tool when needing bleeding-risk and anticoagulation guidance, and explicitly warns to verify against current ASRA guidelines and institutional policy. However, it does not mention when not to use it or provide direct comparisons to alternatives.
Agents often have multiple tools that could apply. Explicit usage guidance like "use X instead of Y when Z" prevents misuse.
Behavior4/5
Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?
Annotations already declare readOnlyHint=true and openWorldHint=false, so the description adds value by noting the 'FREE tier' and specifying input flexibility (name, id, or CPT code) and output fields. This provides useful behavioral context beyond annotations.
Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.
Conciseness5/5
Is the description appropriately sized, front-loaded, and free of redundancy?
The description is a single, front-loaded sentence of 25 words that efficiently communicates input, output, and tier status. No wasted words.
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?
Given the simple 1-parameter tool with annotations covering read-only nature, the description sufficiently covers input, output fields, and the 'FREE tier' constraint. No output schema exists, but the description enumerates return fields, making it complete.
Complex tools with many parameters or behaviors need more documentation. Simple tools need less. This dimension scales expectations accordingly.
Parameters4/5
Does the description clarify parameter syntax, constraints, interactions, or defaults beyond what the schema provides?
The schema has 100% coverage for the single parameter, and the description reinforces acceptable input formats (name, id, or CPT code). It adds meaning by clarifying the parameter's usage beyond the schema's description.
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 clearly states the tool returns CPT codes, add-on codes, work RVUs, facility setting, and billing notes for a given procedure. It distinguishes from sibling tools like get_procedure_list or get_icd10_codes which serve different purposes.
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 description implies usage (look up CPT codes for a procedure) but does not explicitly state when not to use it or mention alternatives. Sibling tool names are provided in context, but the description itself lacks explicit guidance on selection.
Agents often have multiple tools that could apply. Explicit usage guidance like "use X instead of Y when Z" prevents misuse.
Behavior4/5
Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?
Annotations already declare readOnlyHint=true, and description does not contradict. Description adds valuable behavioral context: output specifics (fields returned) and 'PREMIUM tier' indicating access restrictions, enhancing transparency beyond annotations.
Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.
Conciseness5/5
Is the description appropriately sized, front-loaded, and free of redundancy?
Two concise sentences: first defines purpose and output, second adds tier information. No verbose or redundant text.
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?
Despite no output schema, description explicitly lists return fields (evidence grade, summary, studies with details). Provides usage context ('notes and appeals'). Complete for a simple query tool.
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 description covers the single parameter fully (100% coverage), so description adds no extra parameter meaning. Baseline of 3 is appropriate.
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?
Description clearly states the tool returns evidence grade, summary, and supporting studies for a given procedure. It distinguishes from siblings like get_cpt_codes and get_procedure_list, which deal with different aspects of medical data.
Agents choose between tools based on descriptions. A clear purpose with a specific verb and resource helps agents select the right tool.
Usage Guidelines4/5
Does the description explain when to use this tool, when not to, or what alternatives exist?
Explicitly states the output is 'for use in notes and appeals,' providing clear usage context. However, it does not mention when not to use or offer alternative tools, though no direct sibling alternatives exist.
Agents often have multiple tools that could apply. Explicit usage guidance like "use X instead of Y when Z" prevents misuse.
Behavior5/5
Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?
Annotations show readOnlyHint=true, which the description does not contradict. The description adds detail on return content (frequency, fix, snippet) and notes 'PREMIUM tier,' indicating access level.
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 description is concise with two sentences. The first sentence packs key details; the second is a single note. Slightly more integration could help, but no wasted words.
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?
Given a single parameter and no output schema, the description fully explains what the tool returns (denial reasons, frequency, fix, appeal snippet). No missing context for effective use.
Complex tools with many parameters or behaviors need more documentation. Simple tools need less. This dimension scales expectations accordingly.
Parameters4/5
Does the description clarify parameter syntax, constraints, interactions, or defaults beyond what the schema provides?
Schema coverage is 100% with a description for 'procedure'. The description adds that it accepts a name, id, or CPT code, providing more specific guidance 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 clearly states it returns denial reasons, frequency, fix/remedy, and appeal snippets for a procedure. It distinguishes itself from siblings that deal with CPT codes or checklists.
Agents choose between tools based on descriptions. A clear purpose with a specific verb and resource helps agents select the right tool.
Usage Guidelines4/5
Does the description explain when to use this tool, when not to, or what alternatives exist?
The description implies when to use: when encountering payer denials and needing appeals. It does not explicitly state when not to use or give alternatives, but the sibling list provides context.
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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