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Kustode-ce

Medical Billing MCP

by Kustode-ce

lookup_denial

Resolve denied claims by looking up CARC/RARC codes with step-by-step resolution instructions.

Instructions

Look up denial codes (CARC/RARC) with resolution steps

Input Schema

TableJSON Schema
NameRequiredDescriptionDefault
codeNoDenial code (e.g., 'CO-50', '50')
searchNoSearch term (e.g., 'medical necessity')
Behavior2/5

Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?

Without annotations, the description should disclose behavioral traits like read-only or authorization needs, but it only mentions returning 'resolution steps', leaving safety and operational behavior unspecified.

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 a single concise sentence with no fluff, effectively front-loading the core function. It could be slightly more structured but is efficient.

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?

The description mentions 'resolution steps' but does not detail the output format, which is needed since there is no output schema. It is adequate but not comprehensive for a lookup 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% with descriptions for both 'code' and 'search' parameters. The description does not add additional meaning beyond the schema, so 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 looks up denial codes (CARC/RARC) with resolution steps, specifying the verb 'look up' and the resource 'denial codes', and it distinguishes from sibling tools like lookup_bundling, lookup_cpt, etc.

Agents choose between tools based on descriptions. A clear purpose with a specific verb and resource helps agents select the right tool.

Usage Guidelines2/5

Does the description explain when to use this tool, when not to, or what alternatives exist?

No guidance is provided on when to use this tool versus alternatives like lookup_cpt or lookup_payer. The description lacks context for selection.

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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