ClaimsProcessingAssistant-MCP

ClaimsProcessingAssistant MCP Server

🚀 Project Overview

ClaimsProcessingAssistant MCP Server is a robust, TypeScript-based backend for managing insurance claims using the MCP protocol. It features advanced validation, document analysis (AI-powered), Supabase integration, Redis caching, and comprehensive error handling—designed for scalability, security, and extensibility.

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✨ Features

• MCP Protocol Implementation: Standardized claim processing API.
• Authentication & Authorization: Secure access for users and services.
• Advanced Claim Validation: Rules engine for policy, duplicate, high-value, and document checks.
• AI Document Analysis: Integrates with Claude for intelligent document validation.
• Supabase Integration: Modern, scalable Postgres backend.
• Redis Caching: Fast access to frequent queries and rate limiting.
• Audit Trail: Full traceability of claim actions.
• Comprehensive Testing: Unit, integration, and end-to-end tests.
• CI/CD Ready: GitHub Actions for automated testing and deployment.

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🏗️ Architecture

flowchart TD
    A[User/API Client] -->|Submit Claim| B[MCP Server]
    B --> C{Authentication}
    C -- Valid --> D[Validation Engine]
    C -- Invalid --> Z1[Auth Error]
    D --> E{Validation Rules}
    E -- Pass --> F[Store in DB]
    E -- Fail --> Z2[Validation Errors]
    F --> G[Workflow Engine]
    G --> H[AI Doc Validation]
    H --> I[Audit Trail]
    I --> J[Update Status]
    J --> K[Cache Results]
    K --> L[Return Response]
    L -->|Get Status/List| M[Read Cache/DB]
    M --> L
    L -->|Error| Z3[Error Reporting]

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📦 Project Structure

ClaimsProcessingAssistant-MCP/
├── src/
│   ├── auth/                # Authentication logic
│   ├── config/              # Configuration and environment
│   ├── functions/           # MCP protocol functions (submit, validate, etc.)
│   ├── services/            # Business logic, cache, AI, rate limiting
│   ├── mcp/                 # Protocol handler, function registry
│   ├── validation/          # Validation rules and helpers
│   └── server/              # Server entrypoint
├── __tests__/               # Unit and integration tests
├── scripts/                 # Utility scripts
├── dist/                    # Compiled output
├── Dockerfile
├── package.json
├── README.md
└── images/
    └── workflow-diagram.png

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⚡ Getting Started

Prerequisites

• Node.js (v18+ recommended)
• Docker (for local development)
• Supabase account (or local Postgres)
• Redis instance

Setup

git clone https://github.com/your-org/ClaimsProcessingAssistant-MCP.git
cd ClaimsProcessingAssistant-MCP
npm install
cp .env.example .env
# Edit .env with your Supabase/Redis credentials

Running Locally

# Start services (if using Docker)
docker-compose up -d

# Start the server
npm run dev

Running Tests

npm run test

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🛠️ Usage

• API Endpoints: See API Documentation (or describe main endpoints here)
• Submitting a Claim: POST /api/claims/submit
• Validating a Claim: POST /api/claims/validate
• Getting Claim Status: GET /api/claims/:id/status
• Listing Claims: GET /api/claims?filter=...

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🧪 Testing & Quality

• Unit tests: npm run test
• Linting: npm run lint
• Coverage: npm run coverage
• CI/CD: Automated via GitHub Actions

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🤝 Contributing

1. Fork the repo and create your branch (git checkout -b feature/your-feature)
2. Make your changes and add tests
3. Run lint and tests before committing
4. Submit a pull request!

See CONTRIBUTING.md for more details.

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📝 License

MIT License. See LICENSE for details.

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🙋 FAQ / Support

• Issues: GitHub Issues
• Contact: Open an issue or PR for questions and suggestions.

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Happy Claim Processing!

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