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by backworkai

Verity MCP Server

Official Model Context Protocol (MCP) server for the Verity API. It gives AI assistants controlled access to Medicare coverage policies, medical code intelligence, prior authorization checks, claim validation, compliance review, drug formulary evidence, and webhook operations.

What It Provides

  • Medical code lookup for CPT, HCPCS, ICD-10, and NDC codes

  • Policy search, retrieval, change tracking, and jurisdiction comparison

  • Prior authorization checks and payer website research

  • Claim coverage and denial risk validation

  • Coverage criteria search and policy evaluation

  • Medicaid spending data by HCPCS code

  • Compliance review and acknowledgment workflows

  • Drug formulary evidence across supported PBM sources

  • Webhook management tools for enterprise integrations

Installation

git clone https://github.com/backworkai/verity_mcp.git
cd verity_mcp
npm install
npm run build

Requires Node.js 18 or newer.

Configuration

Set a Verity API key in the MCP server environment:

export VERITY_API_KEY=vrt_live_YOUR_API_KEY

Optional:

export VERITY_API_BASE=https://verity.backworkai.com/api/v1

Get an API key from the Verity dashboard.

Claude Desktop

Add the server to your Claude Desktop configuration.

macOS: ~/Library/Application Support/Claude/claude_desktop_config.json

Windows: %APPDATA%\Claude\claude_desktop_config.json

{
  "mcpServers": {
    "verity": {
      "command": "node",
      "args": ["/absolute/path/to/verity_mcp/build/index.js"],
      "env": {
        "VERITY_API_KEY": "vrt_live_YOUR_API_KEY"
      }
    }
  }
}

Claude Code

claude mcp add verity node /absolute/path/to/verity_mcp/build/index.js

Codex

codex mcp add verity --env VERITY_API_KEY=vrt_live_YOUR_API_KEY -- node /absolute/path/to/verity_mcp/build/index.js

Available Tools

Tool

Purpose

lookup_code

Look up a medical code with optional RVU, policy, and rate data

search_policies

Search Medicare coverage policies

get_policy

Retrieve a policy by ID

compare_policies

Compare policy coverage across MAC jurisdictions

get_policy_changes

Track policy changes over time

search_criteria

Search extracted coverage criteria blocks

list_jurisdictions

List MAC jurisdictions and covered states

check_prior_auth

Check prior authorization requirements

get_health

Check Verity API health

get_spending_by_code

Retrieve Medicaid spending data by HCPCS code

validate_claim

Validate claim coverage and denial risk

research_prior_auth

Research payer prior authorization requirements

get_prior_auth_research

Poll a prior authorization research task

batch_lookup_codes

Look up multiple codes in one request

evaluate_coverage

Evaluate policy criteria against structured inputs

list_webhooks

List webhook endpoints

create_webhook

Create a webhook endpoint

update_webhook

Update a webhook endpoint

delete_webhook

Delete a webhook endpoint

test_webhook

Send a test webhook event

list_unreviewed_changes

List policy changes awaiting review

acknowledge_change

Acknowledge one policy change

bulk_acknowledge_changes

Acknowledge multiple policy changes

get_compliance_stats

Get compliance dashboard statistics

search_drug_formulary_evidence

Search commercial drug formulary evidence

Example Prompts

Is CPT 76942 covered in Texas, and does it require prior authorization?
Compare coverage for J0585 across JM and JH.
Validate denial risk for 99213 with diagnosis E11.9 for Medicare in Texas.
Search formulary evidence for Ozempic across commercial PBMs.

Development

npm install
npm run build
npm start

Troubleshooting

Missing API Key

Set VERITY_API_KEY in the MCP client configuration or shell environment.

Authentication Errors

Confirm the key is active and starts with vrt_live_ or vrt_test_.

Rate Limits

Wait for the reset window or use a higher-capacity API plan.

Support

License

MIT

Install Server
A
license - permissive license
A
quality
C
maintenance

Resources

Unclaimed servers have limited discoverability.

Looking for Admin?

If you are the server author, to access and configure the admin panel.

Latest Blog Posts

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