Coverage Rights

Connect Remote server

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

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

{
  "servers": {
    "coverage-rights": {
      "type": "http",
      "url": "https://www.coverage-rights.com/api/mcp"
    }
  }
}

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

Tools 10 found in our last check

• 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 disclosure, plus contract/plan-level rows where collected. Includes source URLs and scope notes.

• 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.

• get_treatment_outcomes

  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', 's…

• get_condition_outcomes

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

• search_outcomes

  Search 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,…

• get_appeal_rights

  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, AC…

• get_drug_playbook

  Curated 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. Confirm current labeling, the actual benefit channel and plan criteria; the gu…

• prepare_knee_injection_evidence

  Prepare 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 i…

• 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 (CA, TX, FL, NY, PA, IL, OH, GA, NC, MI); other states return the covered list.

Details

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