AI Connectors · Healthcare & Life Sciences

CMS Coverage

Medicare Part B coverage determinations from the CMS database

Listed in Claude · 8 published tools · Built by Anthropic

Overview

What CMS Coverage does

The CMS Coverage Database holds the policies that decide what Medicare Part B pays for: National Coverage Determinations set centrally and Local Coverage Determinations issued by regional contractors. This Anthropic built connector searches both, retrieves full documents by type and identifier, and looks up which Medicare Administrative Contractor covers a given area, since a local policy only binds within that contractor's jurisdiction. A recent changes report covers newly published or revised documents, and the Self-Administered Drug exclusion list identifies drugs that cannot be billed under Part B at all. CMS notes that some returned material is governed by third-party licence agreements, which connecting accepts.

Who it is for

Reimbursement analysts, billing teams and market access staff working Medicare policy.

Tool surface

Seven tools answered against a published eight, and the split is deliberate: national and local coverage are separate searches because they are separately issued, with document retrieval, contractor lookup, a batch NCD fetch and the SAD exclusion list around them.

Availability

Where CMS Coverage is listed

CMS Coverage is listed in the Claude connectors directory only. Anthropic has no app under the same domain in the ChatGPT directory; 392 of the 3,150 products here are on both marketplaces, and this is not one of them.

The MCP server behind a Claude connector is usually the same server a ChatGPT app would need, so the absence is a distribution decision rather than a technical one.

Claude listing

In the Claude connectors directory

CMS Coverage publishes 8 tools to Claude. That is a mid-sized surface: 37.7% of the 1,253 Claude-listed connectors expose fewer.

The median Claude-listed connector filed under Healthcare & Life Sciences publishes 6, so this one runs 2 tools above its bucket's median and ranks 16th of 51 by tool count.

It falls in the 7-10 tools band, which holds 14.6% of the Claude directory.

Measured against the live endpoint

A direct call to the endpoint returned 7 tools, 1 fewer than the 8 the listing publishes. Probed 2026-08-07.

Tools the server actually returns

  • search_national_coverage
  • search_local_coverage
  • get_coverage_document
  • get_contractors
  • get_whats_new_report
  • batch_get_ncds
  • sad_exclusion_list

CMS Coverage publishes a remote MCP endpoint. Claude connects to it over HTTP; there is nothing to install locally.

Every connector in the Claude directory is remote, all 1,253 of them, so transport is not a differentiator there.

Publisher
Anthropic
Verification
Built by Anthropic (0.7% of the Claude directory)
Filed under
Health & Life Sciences
Endpoint
https://hcls.mcp.claude.com/cms_coverage/mcp
Published tools
8 · 7-10 tools band
Depth rank in Healthcare & Life Sciences
16 of 51
Snapshot
August 2026

CMS Coverage is one of only 9 connectors in the entire Claude directory built by Anthropic itself, 0.7% of the 1,253 listings. Everything else is published by a third party.

In the publisher's words

How Anthropic describes it

The CMS Coverage Connector gives Claude access to Medicare Part B coverage policies from the CMS Coverage Database, including National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs). This server may return data governed by third-party license agreements, including those available here: https://api.coverage.cms.gov/v1/metadata/license-agreement/. By connecting to this server, you understand and agree to abide by any applicable agreements.

Quoted from the connector's own Claude directory listing as captured in August 2026. Node8 did not write it and does not vouch for it.

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This is an independent catalogue entry compiled by Node8 from CMS Coverage's public marketplace listing as it stood in August 2026. Listing facts come from the marketplaces; the comparisons against the rest of the directory and any live-endpoint measurements are Node8's. Node8 is not affiliated with Anthropic, and inclusion here is not an endorsement.

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