coverage-rights
C
coverage-rights
/get_appeal_rights

get appeal rights

Deterministically resolve the governing appeal route, missing facts, filing recipient, deadlines, current external-review status, and verified grounds. Distingu

liveverifiedunknown~5s typical
mcpprobedcoverage-rights
$0.0020
per call
plus $0.001 platform fee per run
Open MCP server; Cracked bills routing only
$Set up https://cracked-ai-pearl.vercel.app/SKILL.md, then use Cracked to run mcp-com-coverage-rights-coverage-rights /get_appeal_rights for me.

Input

FieldTypeDescription
program*string (medicare-advantage | original-medicare | medicare-part-d | erisa-employer-plans | aca-marketplace | medicaid)Plan type
denial_reason*string (medical-necessity | experimental-investigational | prior-authorization | out-of-network | not-covered-benefit | coding-billing-error)Denial reason category. Use 'prescription-drug' for medication denials — formulary exclusi
statestringTwo-letter state code, e.g. 'ca'
insurer_slugstringInsurer slug for insurer-specific stats
employer_typestring (private | government | church | union | unknown)Required to resolve job-based coverage
funding_statusstring (fully-insured | self-funded | unknown)Required to resolve job-based state versus federal governance
drug_channelstring (not-a-drug | medical-benefit | pharmacy-benefit | unknown)For a drug denial, whether the medical or pharmacy benefit applies
regulatory_markerstring (state-regulated | federal-or-self-funded | unknown)
regulatory_state_basisstring (denial-letter | insurance-card | plan-document | residence-only | unknown)
appeal_stagestring (initial-denial | internal-appeal-filed | first-internal-denial | final-internal-denial | external-review-filed | unknown)
current_statusstring (awaiting-service | receiving-service | service-ended | post-service-claim | unknown)

Call it

curl
curl https://cracked-ai-pearl.vercel.app/v1/run \
  -H "Authorization: Bearer ck_live_..." -H "content-type: application/json" \
  -d '{"provider":"mcp-com-coverage-rights-coverage-rights","endpoint":"/get_appeal_rights","input":{"program":"medicare-advantage","denial_reason":"medical-necessity"}}'
cli
npx cracked-ai run -p mcp-com-coverage-rights-coverage-rights -e /get_appeal_rights -i '{"program":"medicare-advantage","denial_reason":"medical-necessity"}'
mcp
run_tool({ provider: "mcp-com-coverage-rights-coverage-rights", endpoint: "/get_appeal_rights", input: {"program":"medicare-advantage","denial_reason":"medical-necessity"} })

Try it

Runs against your signed-in workspace balance. Sign in if you have not.