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Coverage Rights

Insurer denial rates, appeal outcomes by treatment and condition, and appeal rights lookups.

Connector by coverage-rights.comOfficial · Domain verified by the MCP Registry

IndexedLicense unknownRemote (HTTP)
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Install

Works with Claude Code, VS Code, Cursor, Windsurf. Read the repository before you give any tool access to your data.

npx agentmarket install connector/coverage-rights-com-coverage-rights

Asks which of your tools to add it to (Claude Code, Codex, Cursor, VS Code, Windsurf, Gemini CLI, Claude Desktop) and shows the change first. See https://agentmart.dev/cli.

Remote endpoint

  • https://www.coverage-rights.com/api/mcp Remote (HTTP)

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About

Insurer denial rates, appeal outcomes by treatment and condition, and appeal rights lookups.

No reviews yet. Installed it? Reviews come from verified installers only. How reviews work

Permissions

What this server can do and what it asks for, from its tool list and install config. Checked Oct 25, 2026.

Tools
9 read · 0 write · 0 deleteRead-only
Secrets
None asked for
Install scripts
Nothing to install (hosted)
Runs as
Hosted (remote endpoint)

Tools by what they do 9

From the running server's own tool list (tools/list) on Oct 25, 2026.

Read 9 · Look things up without changing anything.

  • get_appeal_rights
  • get_condition_outcomes
  • get_drug_playbook
  • get_insurer_metrics
  • get_state_external_review
  • get_treatment_outcomes
  • list_insurers
  • rank_denial_rates
  • search_outcomes

Network hosts it talks to 1

  • coverage-rights.com · found in remote endpoint, install command

Tools (9)

As the server listed them on Oct 25, 2026. Descriptions are the server’s own words; hidden characters are shown as [U+…].

  • get_appeal_rightsAppeal rights lookupread-only

    Deterministically 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_condition_outcomesCondition denial outcomesread-only

    External-review outcomes for a medical condition: how often insurance denials involving this condition were overturned, plus the most-fought treatments for it.

  • get_drug_playbookDrug denial playbookread-only

    Drug-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 — plus the published external-review record for the drug when the corpus has it. Accepts a brand or generic name.

  • get_insurer_metricsInsurer denial metricsread-only

    Get 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.

  • get_state_external_reviewState external reviewread-only

    How 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.

  • get_treatment_outcomesTreatment denial outcomesread-only

    External-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').

  • list_insurersList insurersread-only

    List tracked U.S. health insurers with whether verified CMS-0057-F prior-authorization metrics are available for each.

  • rank_denial_ratesDenial rates rankedread-only

    Insurer 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.

  • search_outcomesSearch outcomesread-only

    Search treatments (categories + specific drugs/procedures) and conditions by name. Returns slugs for get_treatment_outcomes / get_condition_outcomes plus headline overturn rates.

Signals

Last release
Jul 26, 2026 (3 months ago)

Details

Registry name
com.coverage-rights/coverage-rights
Version
1.1.0
Auth
Auth not stated
License
License unknown
First seen
Oct 24, 2026
Last checked
Nov 1, 2026

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Cite this page

Coverage Rights MCP server. Agent Mart. https://agentmart.dev/connectors/coverage-rights-com-coverage-rights (last updated 2026-11-01)