Health Claims

This Health Claims FastMCP server is a mock MCP implementation designed for health insurance claims scenarios. It exposes multiple mock tools for claims, benefits, providers, and prior authorizations, all using synthetic data to support demonstrations and testing of MCP clients and tooling.

How to use

You connect to this MCP server from an MCP client to perform common health claim workflows. Use either the HTTP transport to reach a remote streamable endpoint or the local stdio mode to run the server directly in your development environment. In HTTP mode, you point your client to the provided URL, and in stdio mode, you launch the server process and interact with it via standard input/output.

How to install

Prerequisites you need before running the server:

• Python 3.8+ installed on your system
• pip available to install dependencies
• Node.js and npm if you plan to use the MCP Inspector tooling

Step-by-step setup you can follow to run the server locally:

Additional sections

Configuration notes and usage details are provided so you can run the server in either HTTP or stdio mode, customize the endpoint path, and understand the tools exposed by this mock MCP server.

Security and data handling: all mock data is synthetic and stored in memory with deterministic behavior. No real PHI or external calls are performed.

Available tools

list_member_claims

Return a list of member claims available in the mock dataset.

get_claim_detail

Fetch detailed information for a specific claim by its identifier.

get_member_benefits

Retrieve benefits information for a member.

estimate_member_responsibility

Estimate member responsibility for a set of claims.

search_providers

Search providers by criteria such as specialty or location.

create_prior_authorization

Create a new prior authorization request for a member's treatment.

get_prior_authorization_status

Check the status of an existing prior authorization.

submit_claim_inquiry

Submit an inquiry about a claim to retrieve status or details.