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coverage-rights

com.coverage-rights/coverage-rightsVersion 1.4.1

Insurer denial rates, appeal outcomes, appeal rights, and drug denial playbooks.

Status

Responds199 msAnswered our handshake without sign-in.

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Last checked
Nov 14, 2026, 13:53 UTC
Latency
199 ms
Remotes responding
1 of 1
Sign-in
No sign-in
Hosting
Hosted outside the EU (detected)
Registry data as of
Nov 14, 2026, 22:14 UTC

Data from the official MCP Registry, checked by run.zero. How we check

Connect

Streamable HTTP
https://www.coverage-rights.com/api/mcpResponds199 ms
No sign-in

Claude Code

claude mcp add --transport http coverage-rights https://www.coverage-rights.com/api/mcp

Claude Desktop and claude.ai

Settings > Connectors > Add custom connector
Name: coverage-rights
Remote MCP server URL: https://www.coverage-rights.com/api/mcp

Cursor

{
  "mcpServers": {
    "coverage-rights": {
      "url": "https://www.coverage-rights.com/api/mcp"
    }
  }
}

VS Code

code --add-mcp '{"name":"coverage-rights","type":"http","url":"https://www.coverage-rights.com/api/mcp"}'

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Tools

10 tools

Tools of coverage-rights
Read-only
Idempotent
Open world
get_appeal_rightsDeterministically resolve the governing appeal route, missing facts, filing recipient, deadlines, current external-review status, and verified grounds. Distinguishes Original Medicare, Medicare Advantage medical benefits, Part D pharmacy benefits, employer funding/governance, ACA, Medicaid, FEHB, TRICARE, and unknown coverage; unsupported or ambiguous routes fail closed.NoYesYesNo
get_condition_outcomesExternal-review outcomes for a medical condition: how often insurance denials involving this condition were overturned, plus the most-fought treatments for it.NoYesYesNo
get_drug_playbookCurated medication background, common denial patterns, preparation considerations, and available historical California review outcomes for covered GLP-1 and IBD drugs. Accepts a brand or generic name. Current labeling, the actual benefit channel and plan criteria still need confirming; the guide does not establish current coverage, an exception entitlement, an individual outcome, or an applicable deadline.NoYesYesNo
get_insurer_metricsGet an insurer's verified CY2025 prior-authorization metrics (denial rate, appeal overturn rate, decision times) from its own CMS-0057-F disclosure, plus contract/plan-level rows where collected. Includes source URLs and scope notes.NoYesYesNo
get_state_external_reviewHow a state's external review process works: filing deadline, regulator contact, and key facts. Verified detail currently covers 10 states (CA, TX, FL, NY, PA, IL, OH, GA, NC, MI); other states return the covered list.NoYesYesNo
get_treatment_outcomesExternal-review outcomes for a treatment: how often insurer denials of this treatment/drug/procedure were overturned by independent reviewers (42,749 published CA IMR decisions, 2001–2026). Accepts a category slug (e.g. 'pharmacy') or specific treatment slug (e.g. 'zepbound', 'speech-therapy').NoYesYesNo
list_insurersList tracked U.S. health insurers with whether verified CMS-0057-F prior-authorization metrics are available for each.NoYesYesNo
prepare_knee_injection_evidencePrepare a free, category-level evidence checklist for a knee osteoarthritis hyaluronic-acid injection denial using routing facts, injection-series status, and record availability categories. Reuses the existing knee denial preparation kit. Does not inspect records or verify an insurer's specific criteria, provide clinical recommendations, draft an appeal, calculate deadlines, or estimate success. Inputs are limited to the schema's bounded categories; the tool takes no names, identifiers, record text, or uploaded documents. Missing routing facts and unsupported routes remain explicit holds.NoYesYesNo
rank_denial_ratesInsurer prior-authorization denial rates (CY2025), ranked only within compatible reporting cohorts. Each row includes its cohort, rank within that cohort, exact source scope, calculation method, and source link. Ranks are not comparable across cohorts.NoYesYesNo
search_outcomesSearch treatments (categories + specific drugs/procedures) and conditions by the names used in the published data. The query must appear in a name as a whole word or phrase (e.g. 'wegovy', 'back pain', 'ct scan'); generic names, abbreviations and drug classes are not translated, so search the brand or the specific treatment. Returns slugs for get_treatment_outcomes / get_condition_outcomes plus headline overturn rates.NoYesYesNo

Details

Registry status
Active
Published
Nov 10, 2026
Updated
Nov 10, 2026
Repository
Not given
Categories (suggested)
Data and analyticsSuggested categories are assigned automatically from the registry text and may be wrong. Verified operators can correct them.
GDPR
Not declared

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