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Coverageunlocked

edgeedgehq/coverageunlocked-mcp

Connects your AI assistant to insurance denial appeal intelligence built from 20 years of industry insider knowledge. Exposes tools like analyze_denial for win probabilities and top denial reasons, check_denial_risk for pre-submission assessment, and pro-tier endpoints for full appeal strategies, payer behavioral profiles, and state-specific regulatory leverage. Covers 480+ curated CPT codes with deep commentary plus 17,000+ total codes across major procedure categories, seven big payers including UnitedHealthcare and Anthem, and 15 state regulatory profiles. Reach for this when you need to evaluate appeal odds, craft denial responses, or understand payer-specific tactics. Free tier gives 10 queries daily with basic insights, pro tier unlocks full strategies and documentation checklists.

tools
5
transport
STDIO
last updated
Mar 31, 2026

Tools

5 tools

Public tool metadata for what this MCP can expose to an agent.

analyze_denialWin probability + top denial reason + insider tip for any CPT code

Win probability + top denial reason + insider tip for any CPT code

No parameter schema in public metadata yet.

check_denial_riskPre-submission risk assessment — check before you submit a claim

Pre-submission risk assessment — check before you submit a claim

No parameter schema in public metadata yet.

get_appeal_strategyFull appeal strategy with all denial reasons, counter-arguments, regulatory citations

Full appeal strategy with all denial reasons, counter-arguments, regulatory citations

No parameter schema in public metadata yet.

get_payer_intelligencePayer behavioral profiles — known tactics and how to counter them

Payer behavioral profiles — known tactics and how to counter them

No parameter schema in public metadata yet.

get_regulatory_leverageState-specific appeal deadlines, prompt payment laws, external review options

State-specific appeal deadlines, prompt payment laws, external review options

No parameter schema in public metadata yet.

Sponsors

Readme

CoverageUnlocked MCP Server

Insurance denial appeal intelligence powered by 20 years of insider knowledge.

Get win probabilities, appeal strategies, payer behavioral intelligence, and regulatory leverage for any CPT code — directly inside your AI assistant.

What Questions Does This Answer?

  • "What are my chances of winning an insurance denial appeal?"
  • "How do I appeal a denied claim for [procedure] with [payer]?"
  • "What's the denial rate for [CPT code] with [insurance company]?"
  • "What should I include in my appeal letter?"
  • "What are the appeal deadlines in my state?"

Coverage

  • 480+ curated CPT codes with deep insider commentary, payer-specific rates, and regulatory leverage — backed by a 17,000+ total CPT/HCPCS coverage layer across 9 procedure categories (surgical, E&M, imaging, infusion/chemo, rehab, mental health, diagnostic, DME, lab/pathology)
  • 7 major payers with behavioral profiles (UnitedHealthcare, Anthem, Aetna, Cigna, Humana, BCBS, TRICARE)
  • 15 state regulatory profiles with appeal deadlines, prompt payment laws, and parity enforcement
  • Category-level fallback for any CPT code not in the detailed database

Tools


View the full README on GitHub

Details

Repository
github.com/edgeedgehq/coverageunlocked-mcp
Package
coverageunlocked-mcp
Transport
STDIO
Registry
MCP registry, active