Coverage Rights
Insurer denial rates, appeal outcomes by treatment and condition, and appeal rights lookups.
Connect it
Settings → Connectors → Add custom connector
URL: https://www.coverage-rights.com/api/mcpSettings → Apps & Connectors → Advanced → Developer mode
Create connector with URL: https://www.coverage-rights.com/api/mcp{
"mcpServers": {
"coverage-rights": {
"url": "https://www.coverage-rights.com/api/mcp"
}
}
}claude mcp add --transport http coverage-rights https://www.coverage-rights.com/api/mcp{
"servers": {
"coverage-rights": {
"type": "http",
"url": "https://www.coverage-rights.com/api/mcp"
}
}
}9 tools, verified live
list_insurersread-onlyList tracked U.S. health insurers with whether verified CMS-0057-F prior-authorization metrics are available for each.
get_insurer_metricsread-onlyGet 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.
rank_denial_ratesread-onlyInsurer 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. Never compare ranks across cohorts.
get_treatment_outcomesread-onlyExternal-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, 2001â2026). Accepts a category slug (e.g. 'pharmacy') or specific treatment slug (e.g. 'zepbound', 'speech-therapy').
get_condition_outcomesread-onlyExternal-review outcomes for a medical condition: how often insurance denials involving this condition were overturned, plus the most-fought treatments for it.
search_outcomesread-onlySearch treatments (categories + specific drugs/procedures) and conditions by name. Returns slugs for get_treatment_outcomes / get_condition_outcomes plus headline overturn rates.
get_appeal_rightsread-onlyDeterministically 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.
get_drug_playbookread-onlyDrug-specific denial patterns and appeal strategy for the medications plans fight hardest over: GLP-1s (Wegovy, Zepbound, Mounjaro, Ozempic, Saxenda) and IBD biologics (Humira, Skyrizi, Stelara, Entyvio, Remicade, Rinvoq). Returns FDA-approved indications stated conservatively, why plans deny that specific drug, what winning appeals argue, and the step-therapy exception framing â plus the publis
get_state_external_reviewread-onlyHow 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.
Alternatives in Other
Compare →
Domain IntelligenceA
WHOIS/RDAP, DNS, SSL, live subdomains with IPs, and SPF/DMARC/DKIM for any domain.
CHChangeThisFileA
1,000+ conversion routes plus translate, extract tables, compress. 25 free/month, then a free key.
TSTHORChain SwapA
Read-only THORChain swap quotes, liquidity pools, and network status.
TITAG IT VerifyA
Verify on-chain lifecycle state and provenance of NFC-tagged physical products.
ATAtsA
Which ATS does a company use? Portal-verified answers for 743 employers + resume ATS check. No key.
ZMZooza MCP ServerA
MCP server for Zooza — class scheduling, attendance, and booking for activity businesses.