mcp server
coverage-rights
Insurer denial rates, appeal outcomes by treatment and condition, and appeal rights lookups.
Description as published by the maintainer. Source
- version 1.1.0
- active
active — Registry entry last updated 2026-07-26.
What this server can do
9 functions, named and described by the server itself. Parameter names are shown because they say more about what a function does than its name usually does.
get_appeal_rights(state, program, appeal_stage, drug_channel, insurer_slug, denial_reason, employer_type, current_status, funding_status, regulatory_marker, regulatory_state_basis)- 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. Required: program, denial_reason.
get_condition_outcomes(slug)- External-review outcomes for a medical condition: how often insurance denials involving this condition were overturned, plus the most-fought treatments for it. Required: slug.
get_drug_playbook(drug)- 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. Required: drug.
get_insurer_metrics(slug)- 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. Required: slug.
get_state_external_review(state)- 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. Required: state.
get_treatment_outcomes(slug)- 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'). Required: slug.
list_insurers- List tracked U.S. health insurers with whether verified CMS-0057-F prior-authorization metrics are available for each.
rank_denial_rates- 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_outcomes(limit, query)- Search treatments (categories + specific drugs/procedures) and conditions by name. Returns slugs for get_treatment_outcomes / get_condition_outcomes plus headline overturn rates. Required: query.
Last successful function declaration observed on . Source: https://www.coverage-rights.com/api/mcp. We list what the server declared; we do not call any of these functions.
Endpoint status observed on . Source: https://www.coverage-rights.com/api/mcp.
Signals
These are separate measurements of different things. They are deliberately not combined into one score, because a popularity number that mixes website traffic with saves and stars cannot be checked or acted on.
| Signal | Value | What it measures | Window | Observed | Source |
|---|---|---|---|---|---|
| Latest published version | 1.1.0 | Latest version string the maintainer published to the registry. | as of fetch | Model Context Protocol | |
| Registry record last updated | 2026-07-26 | When the registry record was last updated by its maintainer. | point in time | Model Context Protocol | |
| First listed in the MCP Registry | 2026-07-26 | Date this server was first published to the official MCP Registry. Not a usage or quality measure. | point in time | Model Context Protocol | |
| mcp tools declared | 9 tools | Number of functions the server itself declared when asked to list them. This is what the server offers an agent, not a measure of how well any of them work. | as of probe | www.coverage-rights.com | |
| mcp endpoint status | ok | The server listed 9 functions when asked. | as of probe | www.coverage-rights.com |
Where to get it
This record as data
Every field on this page, with its source and observation date, is in the catalog JSON. Fetch the whole kind at once instead of parsing this HTML.
GET /api/v1/entries/mcp_server.json