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Kustode-ce

Medical Billing MCP

by Kustode-ce

lookup_payer

Retrieve billing rules for a specific payer to ensure accurate claim submission and reduce denials.

Instructions

Look up payer-specific billing rules

Input Schema

TableJSON Schema
NameRequiredDescriptionDefault
payerYesPayer name (e.g., 'medicare', 'bcbs_ma')
Behavior2/5

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

No annotations provided, and the description does not disclose behavioral traits such as read-only nature, authentication requirements, or side effects. The verb 'look up' implies read-only but is not explicit.

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?

Single sentence, front-loaded, no extraneous text. Could be slightly more informative without being verbose, but acceptable for a simple tool.

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?

Given the tool is a simple lookup with one parameter and no output schema, the description minimally covers the purpose. However, it lacks details on return format or examples, which would improve completeness.

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% (one parameter with a description). The description adds no additional meaning beyond the schema, but baseline is 3 for high coverage. No extra context provided.

Input schemas describe structure but not intent. Descriptions should explain non-obvious parameter relationships and valid value ranges.

Purpose4/5

Does the description clearly state what the tool does and how it differs from similar tools?

The description clearly states the verb 'look up' and the resource 'payer-specific billing rules'. It distinguishes from sibling tools which focus on bundling, CPT, etc. However, 'billing rules' is somewhat vague.

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 on when to use this tool versus alternatives. No context provided for appropriate use cases or exclusions.

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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