Claim Back
Medicare Advantage denial appeals (US): sourced guides, appeal deadlines, and help appealing.
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Calidad y seguridad
Hallazgos (1)
- LOWTool 'read_guide' description lacks action verben read_guide
Basado en el análisis automatizado de las definiciones de herramientas y el cumplimiento del protocolo.
Costo de contexto
Este es el número aproximado de tokens que se consumen cada vez que las herramientas del servidor se cargan en el contexto de un modelo. Los recuentos más altos reducen la atención disponible para otras tareas.
Instalar
Instalación con un clic
Agrega esto a tu archivo `claude_desktop_config.json`:
{
"mcpServers": {
"claimback": {
"url": "https://claimback.lapla.si/mcp"
}
}
}Puntos de conexión remotos
https://claimback.lapla.si/mcpstreamable-httpQué puede hacer
Inventario de herramientas
Herramientas (4)
🟢list_guides
Lists Claim Back’s guides to appealing a Medicare Advantage denial (US), each with its slug, title, one-line summary and link: how to appeal and who can ask, the appeal deadline, the fast appeal when care is ending, and the independent review. Use it to find the guide that answers the user’s question, then read_guide.
Esquema de entrada
{
"type": "object",
"properties": {},
"additionalProperties": false
}🟢read_guide(slug)
Returns one guide in full as Markdown, with its sources (the federal regulations, Medicare.gov and CMS). Use it to answer questions about Medicare Advantage appeals accurately, and link the guide in the answer.
Esquema de entrada
{
"type": "object",
"properties": {
"slug": {
"type": "string",
"enum": [
"appeal-a-medicare-advantage-denial",
"medicare-advantage-appeal-deadline",
"care-ending-fast-appeal",
"independent-review"
],
"description": "The guide’s slug, from list_guides."
}
},
"required": [
"slug"
],
"additionalProperties": false
}🟢appeal_deadline(notice_date, care_end_date)
Calendar arithmetic for Medicare Advantage appeal deadlines. Give notice_date (the date printed on the plan’s denial notice) for the plan reconsideration deadline: 65 days from that date (the rule is 60 days from receipt, presumed 5 days after the date). Or give care_end_date (the date covered skilled nursing, home health or outpatient rehab care ends, on the Notice of Medicare Non-Coverage) for the fast appeal: by noon the day before. The notice’s own instructions come first.
Esquema de entrada
{
"type": "object",
"properties": {
"notice_date": {
"type": "string",
"pattern": "^\\d{4}-\\d{2}-\\d{2}$",
"description": "The date printed on the denial notice, YYYY-MM-DD."
},
"care_end_date": {
"type": "string",
"pattern": "^\\d{4}-\\d{2}-\\d{2}$",
"description": "The date covered care ends, from the Notice of Medicare Non-Coverage, YYYY-MM-DD."
}
},
"additionalProperties": false
}🟢claim_back_services
How Claim Back helps with a Medicare Advantage appeal and what it costs: a free check of the denial letter, then two fixed-price services (we handle it for you, paid only if the decision is reversed; or we prepare it and you send it). Returns the link where the user uploads their letter. Use it when the user wants help with an appeal or asks about Claim Back.
Esquema de entrada
{
"type": "object",
"properties": {},
"additionalProperties": false
}Comunidad
Evidencia