Appeal My Claim

Helps people in the US appeal a denied health insurance claim. Explains appeal rights and deadlines for private plans (job-based, Marketplace and individual, under the Affordable Care Act and ERISA), Original Medicare, Medicare Advantage, Medicare drug plans and Medicaid, points to each state's insurance department or Medicaid agency for free help (all 50 states, DC and Puerto Rico), decodes the denial codes on an Explanation of Benefits (like CO-50 or PR-204) in plain words, and drafts appeal letters by denial reason or code for the user to review and send.

MCP server

https://goodturn-mcp.pages.dev/appealmyclaim/mcp
Streamable HTTP, no sign-in, read-only.

Tools

• 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 dec...
• 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 no...
• 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 ...
• 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 a...

Links

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