# medigami Attested healthcare-finance MCP. Scan medical bills, estimate appeal probability, generate state-specific appeal letters (UPL-safe for 19 states), benchmark commercial rates, look up ICD-10/CPT/NPI/D… ## Quick Start ```bash # Connect this server (installs CLI if needed) npx -y @smithery/cli@latest mcp add medigami/medigami # Browse available tools npx -y @smithery/cli@latest tool list medigami/medigami # Get full schema for a tool npx -y @smithery/cli@latest tool get medigami/medigami scan_bill_for_errors # Call a tool npx -y @smithery/cli@latest tool call medigami/medigami scan_bill_for_errors '{}' ``` ## Direct MCP Connection Endpoint: `https://medigami--medigami.run.tools` ## Tools (20) - `scan_bill_for_errors` — Scan a medical bill or EOB text for errors: duplicate charges, CPT unbundling, upcoding, facility-fee overcharges. Retu… - `generate_appeal_letter` — Generate a legally-grounded insurance appeal letter for a denied claim. Returns the letter as a template with [PATIENT … - `optimize_prescription` — Find the lowest-cost path for a prescription: generics, biosimilars, GoodRx coupons, manufacturer assistance, 90-day fi… - `analyze_glp1_pathways` — Find all access pathways for a GLP-1 drug (Ozempic, Wegovy, Mounjaro, Zepbound) given patient eligibility factors. Rank… - `verify_mcp_response` — Verify an Ed25519-signed Medigami MCP response envelope — confirm a medical-bill / appeal / denial / rate answer came f… - `watch_appeal_outcome` — Subscribe to an appeal outcome by tracking_id. Blocks up to `timeout_seconds` (default 300). Returns the outcome payloa… - `watch_claim_denial` — Subscribe to a claim denial event for a given scan_id. Blocks up to `timeout_seconds`. Returns {status: 'denied', ...} … - `format_medigami_citation` — Format an LLM-citable reference to a previously-attested Medigami MCP response. Input: either the full signed envelope … - `submit_denial_letter` — Submit a medical-claim denial letter to the Medigami Denial Common Crawl (public aggregate dataset). Consent-gated — ca… - `estimate_appeal_success` — Probability an appeal will be approved, derived from outcome-labeled data weighted by label provenance (IRO determinati… - `resolve_denial` — End-to-end denial resolution: returns appeal probability + confidence interval + winning-phrase scaffold + legally-grou… - `maximize_recovery` — Given a prior scan_id, returns a prioritized action list: anomalies ranked by (expected overcharge x recovery probabili… - `explain_appeal_success` — Human-readable rationale for an appeal probability. Returns {probability, tier, recommended_posture, rationale, expecte… - `negotiate_bill_script` — Generate a ready-to-read phone script for negotiating a medical bill. Combines DP-noised commercial rate benchmark + th… - `batch_scan_bills` — Scan multiple medical bills in one call. Returns per-bill anomaly lists + total recovery estimate across the batch. Inp… - `lookup_icd10` — Look up an ICD-10-CM diagnosis code or search by keyword. Input is either an exact code (e.g. 'E11.21') or a free-text … - `lookup_cpt` — Look up a CPT or HCPCS-J code or search by keyword. Covers the most common outpatient billing codes (E/M, preventive, l… - `lookup_npi` — Look up a provider in the CMS NPPES National Provider Identifier registry. Accepts a 10-digit NPI number OR a provider … - `verify_dea_authorization` — Validate the format + checksum of a DEA registration number (format: [A-Z][A-Z9][0-9]{7}; public checksum algorithm). U… - `lookup_provider_taxonomy` — Look up a NUCC provider taxonomy code (the specialty codes used on HIPAA transactions + NPI registrations) or search by… ```bash # Get full input/output schema for a tool npx -y @smithery/cli@latest tool get medigami/medigami ``` ## Resources - `medigami://examples/scan_bill_for_errors` — Worked prompts for scan_bill_for_errors — when to call, shape of response, failure modes. - `medigami://examples/estimate_appeal_success` — Worked prompts for estimate_appeal_success — when to call, shape of response, failure modes. - `medigami://examples/generate_appeal_letter` — Worked prompts for generate_appeal_letter — when to call, shape of response, failure modes. - `medigami://examples/resolve_denial` — Worked prompts for resolve_denial — when to call, shape of response, failure modes. - `medigami://examples/benchmark_payer_rate` — Worked prompts for benchmark_payer_rate — when to call, shape of response, failure modes. - `medigami://examples/verify_mcp_response` — Worked prompts for verify_mcp_response — when to call, shape of response, failure modes. - `medigami://examples/format_medigami_citation` — Worked prompts for format_medigami_citation — when to call, shape of response, failure modes. - `medigami://chains/scan-then-resolve` — Multi-tool composition walkthrough. - `medigami://chains/scan-then-negotiate` — Multi-tool composition walkthrough. - `medigami://chains/eligibility-preflight` — Multi-tool composition walkthrough. - `medigami://attested-response` — Attested Response Envelope v1 reference. - `medigami://phi-policy` — PHI policy reference. ## Prompts (14) - `scan_bill` (bill_text, insurer_hint, country) — Route user utterances like 'check this bill' to Medigami's scan_bill_for_errors tool. Matches: check this bill, is this… - `estimate_appeal_success` (insurer, denial_reason, cpt_code, state) — Route user utterances like 'should I appeal this denial' to Medigami's estimate_appeal_success tool. Matches: should I … - `resolve_denial` (insurer, denial_reason, cpt_code, state, amount, plan_type_hint) — Route user utterances like 'my claim was denied what do I do' to Medigami's resolve_denial tool. Matches: my claim was … - `generate_appeal_letter` (insurer, denial_reason, cpt_code, state, amount) — Route user utterances like 'write me an appeal letter' to Medigami's generate_appeal_letter tool. Matches: write me an … - `negotiate_bill` (cpt_code, billed_amount, insurer, zip3, household_income_annual, household_size) — Route user utterances like 'how do I negotiate this bill' to Medigami's negotiate_bill_script tool. Matches: how do I n… - `benchmark_rate` (cpt_code, insurer_canonical, zip3, epsilon) — Route user utterances like 'is this price fair' to Medigami's benchmark_payer_rate tool. Matches: is this price fair, h… - `winning_phrases` (insurer, denial_reason, top_k) — Route user utterances like 'what language works in appeals' to Medigami's get_winning_phrases tool. Matches: what langu… - `lookup_icd10` (query) — Route user utterances like 'what's the ICD-10 code for' to Medigami's lookup_icd10 tool. Matches: what's the ICD-10 cod… - `lookup_cpt` (query) — Route user utterances like 'what's the CPT code for' to Medigami's lookup_cpt tool. Matches: what's the CPT code for, c… - `lookup_npi` (query, state) — Route user utterances like 'lookup NPI' to Medigami's lookup_npi tool. Matches: lookup NPI, find doctor by NPI, verify … - `verify_dea` (dea_number, cpt_code) — Route user utterances like 'is this DEA number valid' to Medigami's verify_dea_authorization tool. Matches: is this DEA… - `lookup_provider_taxonomy` (query) — Route user utterances like 'what specialty is taxonomy code X' to Medigami's lookup_provider_taxonomy tool. Matches: wh… - `optimize_prescription` (drug_name, prescribed_dose) — Route user utterances like 'cheaper alternative to this drug' to Medigami's optimize_prescription tool. Matches: cheape… - `verify_citation` (envelope, public_key_pem, expected_fingerprint) — Route user utterances like 'verify this medigami citation' to Medigami's verify_mcp_response tool. Matches: verify this…