Medigami patient tools: rates, markups, denial codes, deadlines, overturn rates, procedure codes
| Endpoint | https://mcp.medigami.com/chatgpt/mcp (streamable-http) |
|---|---|
| Registry version | 1.0.0 |
| Now | 6 tools · grade A (100) · pin ts_409961516f3c8081b2f897f4ac49a6a3 · protocol 2025-06-18 |
| First / last listed | 2026-10-30 02:01 UTC / 2026-10-30 02:01 UTC |
| Grade over time | 2026-10-30: A (100), 6 tools |
Is this your server? Own a server? ToolFit hosted watch re-checks it every 24 h ($0.25 per 30 days) or 6 h ($0.60) and sends you an HMAC-signed webhook when its tools or grade change: POST https://api.youraitools.co/toolfit/v1/watch. To opt out, see About & opt-out.
Tools: get_hospital_rate check_bill_markup explain_denial_code get_appeal_deadline get_insurer_overturn_rate lookup_procedure_code
get_hospital_rate | Returns the negotiated rate a named hospital publishes in its federally required machine-readable file for a CPT/HCPCS code, with the file's as-of date. Public hospital-transparency data; educational, not billing advice. params: hospital*, cpt* |
check_bill_markup | Compares one billed line to the hospital's own published negotiated rate for that code and returns the multiple. You type the code and amount; no bill upload. Educational, not billing advice. params: hospital*, cpt*, billed_amount* |
explain_denial_code | Explains a CARC claim-adjustment reason code from the public X12 code list: what it means, whether it is typically appealable, and the general appeal path. Not legal advice. params: carc_code* |
get_appeal_deadline | Returns the appeal window that applies to a plan type (employer ERISA plan, marketplace/individual, Medicare Advantage, Medicaid) with the federal citation and how the clock is counted. Cites the rule; does not tell you whether to file. params: state*, plan_type* |
get_insurer_overturn_rate | Returns, for one insurer in one state, the share of external-review appeals the state regulator reports as overturned, with the sample size, the regulator's report as the source, and the as-of date. Available for CA, NY, MD, NJ, MI, OH, NC. This is one insurer's own historical rate — not a ranking or comparison against other insurers, and not a prediction for your case. params: insurer*, state* |
lookup_procedure_code | Plain-English description of a CPT/HCPCS procedure code and its category, from public code references. params: cpt_code* |
Entries describe changes in tool definitions. They are not statements about a server, its quality or its author. The grade measures how the tool definitions fit model providers (token cost, schema compatibility, confusable names) as scored by the ToolFit engine at the time of the listing. JSON: append .json. Opt-out: how or hello@youraitools.co.