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
{ "code": "99213", "payer": "medicare", "allowed_amount": 80.78, "source": "CY2026 Medicare PFS"}
Estimated payment
$80.78
Source-linked Medicare calculation. Same numbers in the free Payment Calculator.
Built on the sources revenue cycle teams already trust
What’s in the layer
One source of truth for revenue cycle answers
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.
Denial decoding
Read an 835 and see what every CARC/RARC adjustment means, what was underpaid, and what to work first.
Coding edits
NCCI PTP edits and MUE limits for a code pair, so claims clear the edits before you submit.
340B policy
Manufacturer contract-pharmacy restrictions and data-submission mandates, tracked and source-linked.
Payer rules
Filing deadlines, appeal levels, and denial codes across payers, in one directory instead of scattered PDFs.
Provider registry
Look up provider and organization records by NPI, name, state, or taxonomy against the public registry.
Built for 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 agent at the layer. Live MCP tools today cover 340B policy, with more capabilities added as they reach preview.
Three ways to use it
Build on it, use the tools, or have us run 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 usDesigned to plug into
Secure, reliable, and traceable
Facility, payer, and reimbursement work needs clear governance. Every answer in RCIntel links back to its source, whether your team reaches it through the workspace or the API.
Security & Compliance
- HIPAA compliant
- Multi-tenant data isolation
- Workspace and API access controls
- Full audit logging
Reliability & Scale
- Cloud-native architecture
- Rate limiting and abuse protection
- Real-time monitoring and alerting
- CMS data updated as it changes
- Dedicated support for enterprise
HIPAA
Compliant
Start with a free API key
Read-only access to evaluate the layer, no card required. Or spin up the free tools, or talk to us about a managed payer base.
Want us to build your payer base? Talk to us.