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Insurer denial rates, appeal outcomes, appeal rights, and drug denial playbooks.
Remote server: your requests and data go to www.coverage-rights.com. Claude Code: claude mcp add --transport http coverage-rights https://www.coverage-rights.com/api/mcp · Claude app: Settings → Connectors → Add custom connector.
The tools this server listed when we connected to it, in its own words.
list_insurers — List tracked U.S. health insurers with whether verified CMS-0057-F prior-authorization metrics are available for each.get_insurer_metrics — Get an insurer's verified CY2025 prior-authorization metrics (denial rate, appeal overturn rate, decision times) from its own CMS-0057-F disrank_denial_rates — Insurer prior-authorization denial rates (CY2025), ranked only within compatible reporting cohorts. Each row includes its cohort, rank withiget_treatment_outcomes — External-review outcomes for a treatment: how often insurer denials of this treatment/drug/procedure were overturned by independent reviewerget_condition_outcomes — External-review outcomes for a medical condition: how often insurance denials involving this condition were overturned, plus the most-foughtsearch_outcomes — Search treatments (categories + specific drugs/procedures) and conditions by the names used in the published data. The query must appear in get_appeal_rights — Deterministically resolve the governing appeal route, missing facts, filing recipient, deadlines, current external-review status, and verifiget_drug_playbook — Curated medication background, common denial patterns, preparation considerations, and available historical California review outcomes for cprepare_knee_injection_evidence — Prepare a free, category-level evidence checklist for a knee osteoarthritis hyaluronic-acid injection denial using routing facts, injection-get_state_external_review — How a state's external review process works: filing deadline, regulator contact, and key facts. Verified detail currently covers 10 states (Not tested by KitScout yet. When our harness runs it, pros, cons and the tasks we tried appear here, with the date and evidence.