Appeal My Claim
Appeal a denied US health insurance claim: denial codes, rights, deadlines and a draft letter.
| Endpoint | https://goodturn-mcp.pages.dev/appealmyclaim/mcp (streamable-http) |
|---|---|
| Registry version | 1.1.1 |
| Now | 4 tools · grade A (99) · pin ts_75543d611b6355dfb3657d14e02477aa · protocol 2025-06-18 |
| First / last listed | 2026-10-25 05:56 UTC / 2026-10-25 05:56 UTC |
| Grade over time | 2026-10-25: A (99), 4 tools |
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Tools: get_appeal_rights get_appeal_deadlines explain_denial_code draft_appeal_letter
get_appeal_rights | Appeal rights, steps and free help for a plan type and state. For requests like "what are my appeal rights in California?", "my insurer denied my claim, what can I do?" or "how do Medicare appeals work?". Returns who decides, the steps (internal appeal, external review, Medicare levels or Medicaid fair hearing), deadlines, and where to get free help, including the state insurance department. If th params: state, plan_type |
get_appeal_deadlines | How long someone has to appeal, and how fast the plan must decide. For requests like "how long do I have to appeal?", "when is my appeal due?" or "how fast does my insurer have to answer?". With the date on the denial notice, gives an approximate file-by date. The date on the user's own notice is the one that counts. params: plan_type, denial_date, urgent |
explain_denial_code | Explain the denial codes on an Explanation of Benefits. For requests like "my EOB says CO-50, what does that mean?", "what is denial code PR 204?" or "what does N130 mean?". Returns each code in plain words, who usually fixes it (the provider's billing office, an appeal, or the user), whether the provider can bill the user for it (from the group code CO, PR, OA or PI), and a letter link when an ap params: code*, plan_type |
draft_appeal_letter | Draft an appeal letter for the user to review and send. For requests like "my insurer denied my MRI as not medically necessary, help me appeal" or "write an appeal letter for an out-of-network denial". Returns a letter as plain text with [brackets] for anything not given, a checklist of what to attach (denial notice, doctor's letter of medical necessity, records), and tips. It never sends or files params: reason, denial_code, plan_type, name, plan, member_id, claim, service, date, denial_date, doctor, provider, details, urgent |
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