Chatgpt
Medigami patient tools: rates, markups, denial codes, deadlines, overturn rates, procedure codes
Connect it
Settings → Connectors → Add custom connector
URL: https://mcp.medigami.com/chatgpt/mcpSettings → Apps & Connectors → Advanced → Developer mode
Create connector with URL: https://mcp.medigami.com/chatgpt/mcp{
"mcpServers": {
"chatgpt": {
"url": "https://mcp.medigami.com/chatgpt/mcp"
}
}
}claude mcp add --transport http chatgpt https://mcp.medigami.com/chatgpt/mcp{
"servers": {
"chatgpt": {
"type": "http",
"url": "https://mcp.medigami.com/chatgpt/mcp"
}
}
}6 tools, verified live
get_hospital_rateread-onlyReturns 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.
check_bill_markupread-onlyCompares 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.
explain_denial_coderead-onlyExplains 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.
get_appeal_deadlineread-onlyReturns 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.
get_insurer_overturn_rateread-onlyReturns, 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.
lookup_procedure_coderead-onlyPlain-English description of a CPT/HCPCS procedure code and its category, from public code references.
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