Claim Back

Medicare Advantage denial appeals (US): sourced guides, appeal deadlines, and help appealing.

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质量与安全性

B
描述质量
93%
模式完整度
63%
命名质量
90%
投毒风险
100%
权限匹配度
100%
协议合规性
100%

发现(1)

  • LOWTool 'read_guide' description lacks action verb在 read_guide 中

基于对工具定义和协议合规性的自动分析。

上下文开销

~695token 数(工具定义)
~581 B典型响应大小
对注意力有中等影响(占 128k 上下文窗口的 0.54%)

这是每次将服务器的工具加载到模型上下文窗口时所消耗的大致 token 数。数值越高,可用于其他任务的注意力就越少。

安装

一键安装

将以下内容添加到你的 `claude_desktop_config.json` 文件中:

{
  "mcpServers": {
    "claimback": {
      "url": "https://claimback.lapla.si/mcp"
    }
  }
}

远程端点

https://claimback.lapla.si/mcpstreamable-http

它能做什么

工具清单

工具(4)

🟢 只读🟡 写入🔴 删除⚪ 未知
🟢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.

输入模式

{
  "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.

输入模式

{
  "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.

输入模式

{
  "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.

输入模式

{
  "type": "object",
  "properties": {},
  "additionalProperties": false
}

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最近观测

已验证未记录版本4 个工具