REST · MCP · Web tools
Revenue cycle intelligence, as an API
Payer rules, reimbursement math, denial codes, and coding edits — source-linked, and ready for any system or AI agent to call. Query it over REST or MCP, or use the tools built on top.
Request
GET /v1/codes/99213/payment?ccn=050454&payer=medicare
Response
{ "cpt": "99213", "estimated_payment": 58.69, "conversion_factor": 33.5675, "dataset_versions": { "mpfs": "CY2026" }}
Estimated payment
$58.69
Medicare physician fee schedule, CY 2026. Every answer names the data version behind it.
The layer
What’s in the layer
Each capability is reachable the same way — through the API, an MCP tool, or a web tool.
Reimbursement math
Medicare and Medi-Cal payment by facility, payer, CPT, HCPCS, MS-DRG, or APR-DRG — every number source-linked.
ExploreDenial decoding
Read an 835 and see what every CARC/RARC adjustment means, what was underpaid, and what to work first.
ExploreCoding edits
NCCI PTP edits and MUE limits for a code pair, so claims clear the edits before you submit.
Explore340B policy
Manufacturer contract-pharmacy restrictions and data-submission mandates, tracked and source-linked.
ExplorePayer rules
Filing deadlines and appeal levels for major payers, plus 3,400+ payers and their EDI IDs in one directory.
ExploreProvider registry
Look up provider and organization records by NPI, name, state, or taxonomy against the public registry.
ExploreFor developers
Call it over REST or MCP
Every capability in the layer is an endpoint. Wire it into your product, your claims pipeline, or your AI agent — same source-linked data either way. Start with a free read-only key and move to a paid plan when you ship.
# Host from Console → API keyscurl $RCI_API_BASE/v1/codes/99213/payment \ -H "X-API-Key: $RCI_API_KEY"
{ "mcpServers": { "rcintel": { "url": "$RCI_API_BASE/v1/mcp", "headers": { "X-API-Key": "${RCI_API_KEY}" } } }}
Point an AI agent at the same answers — payment, coding edits, coverage, payer rules, and more.
Who it’s for
Three ways to use it
The same source-linked data, reached the way each team works.
Product & engineering
Build on the API + MCP
Call the layer from your own product, claims pipeline, or AI agent. Source-linked responses, a free read-only key to start.
Read the docsBilling, coding & AR teams
Use the tools
No integration needed. Estimate payment, decode remits, check coding edits, and more — in the browser, free to start.
Try the tools freeLeaders & delivery teams
Have us run it
We build and maintain your facilities and payer base as a managed workspace, kept current so your teams don't chase PDFs.
Talk to usTrust
Source-linked, isolated, and auditable
Facility, payer, and reimbursement work needs a clear trail. Every answer in RCIntel links back to its source, whether your team reaches it through the workspace or the API.
- Security
- HIPAA compliant. Multi-tenant isolation. Workspace and API access controls. Full audit logging.
- Operations
- Rate limits, monitoring, and CMS data updated as the source files change. Dedicated support on enterprise plans.
Get started
Start with a free API key
Read-only access to evaluate the layer, no card required. Or try the live demos, or talk to us about a managed payer base.
Want us to build your payer base? Talk to us.