Show HN: MedScribe RCM – MCP server chaining 14 healthcare billing tools

MedScribe RCM — Agent Registration

> This file implements the [Auth.md](https://auth.md) open protocol for agent registration.

What is MedScribe RCM?

MedScribe RCM is a live HTTPS MCP server that chains 14 healthcare Revenue Cycle Management tools — from clinical note → ICD-10 coding → claim validation → denial prevention → appeal generation.

MCP Server URL: https://mcp.medscribepro.in Protocol: MCP over HTTPS (StreamableHTTP) Transport: SSE / StreamableHTTP

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How to Register (for AI Agents)

Step 1 — Get Access

Purchase a subscription at: https://joelcraft26.gumroad.com/l/medscribe-rcm Price: $29/month (founding rate)

Step 2 — Receive Your WorkOS Token

After purchase, you will receive an email at your registered address with:

• Your WorkOS API token (rcm:use scope)
• Claude Desktop configuration snippet

Step 3 — Configure Your MCP Client

Add to your Claude Desktop claude_desktop_config.json:

{
"mcpServers": {
"medscribe-rcm": {
"url": "https://mcp.medscribepro.in/mcp",
"headers": {
"Authorization": "Bearer YOUR_WORKOS_TOKEN"
}
}
}
}

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Authentication

| Field | Value | |---|---| | Auth type | OAuth 2.1 Bearer Token | | Issuer | https://api.workos.com | | JWKS URI | https://api.workos.com/.well-known/jwks.json | | Required scope | rcm:use | | Audience | https://mcp.medscribepro.in | | Token endpoint | https://mcp.medscribepro.in/register |

OAuth metadata: https://mcp.medscribepro.in/.well-known/oauth-authorization-server Protected resource: https://mcp.medscribepro.in/.well-known/oauth-protected-resource

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Available Tools (14)

| Tool | Description | |---|---| | register_patient | Register patient, generate persistent token | | extract_codes_from_note | ICD-10 + procedure extraction from clinical note | | suggest_codes_with_context | NOS/NEC sentinel code engine + oncology coding | | validate_claim_bundle | NCCI/MUE scrubbing, risk score 0–100 | | analyze_denial_and_appeal | CARC/RARC lookup + appeal letter generation | | lookup_coverage_policy | NCD/LCD coverage policy lookup | | get_charge_capture | 2026 Medicare Physician Fee Schedule | | ingest_authorization | Store prior authorization | | check_authorization_drift | Detect auth vs claim mismatches (6 checks) | | record_denial_outcome | Write denial pattern to payer memory | | predict_denial_risk | Predict denial risk before submission | | log_override | AI governance override log | | submit_claim_draft | Build 837-ready claim payload | | track_ar_followup | A/R aging tracker + appeal flag |

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Compliance

• HIPAA: PHI processed in RAM only — never stored
• 42 CFR Part 2: ConsentMiddleware on all tools
• Audit: Structured logs — tool name + timestamp, never note content
• PHI redaction: Microsoft Presidio on all inputs and outputs

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Contact

Email: [email protected] GitHub: https://github.com/joelenoch0/medscribe-rcm-mcp Support: Reply to your onboarding email