# Coverage Rights Muse connector

From musedirectory.ai, the independent directory of Meta Muse connectors. Not affiliated with Meta.

## Coverage Rights

Check insurance denial rates, appeal outcomes, and your appeal rights by condition and treatment.

- Record: https://musedirectory.ai/connector/coverage-rights
- Category: Health
- Developer: Coverage Rights (https://www.coverage-rights.com/mcp)
- Muse status: Extra setup. Not in Muse's Connectors list yet. Muse can still use it: its page gives you a request to paste into Muse.
- Health: Working, 332ms, checked 2026-09-28T07:31:04Z
- Endpoint: https://www.coverage-rights.com/api/mcp
- Auth: No account needed; Pricing: unknown
- Screening: Screened, no issues found (2026-09-24T12:25:59Z)
- Source: Found in the official MCP Registry (com.coverage-rights/coverage-rights) https://registry.modelcontextprotocol.io/v0/servers?search=com.coverage-rights%2Fcoverage-rights

Provides verified insurer prior-authorization denial rates, external-review appeal outcomes for treatments and conditions, appeal rights by coverage type and state, and denial patterns for commonly-fought medications like GLP-1s and biologics.

Example request: "Show me the appeal overturn rate for Zepbound denials and what grounds typically win appeals for weight-loss medications."

How to connect: Not in Muse's Connectors list yet, but Muse can still use it. Paste this into Muse: "Use Coverage Rights to help me. It is a free service with an MCP server at https://www.coverage-rights.com/api/mcp. It does not need an API key. Ask me before you share anything with it." Muse asks before it shares anything with the app's site. Meta does not review apps used this way, so only use ones you trust. We tested this in the Muse app on September 24, 2026: Muse used an app's link directly this way and returned a live answer.

Tools:
- 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', 'sp
- 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 name. Returns slugs for get_treatment_outcomes / get_condition_outcomes plus headline overturn rates.
- 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, ACA
- get_drug_playbook: 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, w
- 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.

Screening checks:
- MCP handshake: pass (Answered in 296ms)
- Domain against threat feeds (Cloudflare security DNS): pass (www.coverage-rights.com not flagged)
- Published packages against the OSV malicious-package database: n/a (No npm or PyPI package published)
- Hidden instructions or invisible characters in tool text: pass (9 tools read, nothing found)
- Inputs asking for passwords, card numbers or seed phrases: pass (None found)
- Domain and redirects: pass (No redirects off the domain)
- AI review of purpose and tool behavior: pass (No concerns)