MCP Native 200+ Denial Codes 20 Years Insider Knowledge

AI-Powered Denial Management
for AI Agents

Give your AI agent the power to fight insurance denials. One npx command connects Claude, ChatGPT, or any MCP client to 20 years of health system insider knowledge.

Connect in 60 Seconds

Two ways to integrate: MCP for AI agents, REST API for everything else. Both backed by the same denial analysis engine.

1 MCP Server (for AI Agents)

Add to your claude_desktop_config.json:

json { "mcpServers": { "denialbot": { "command": "npx", "args": ["@coverageunlocked/denialbot-mcp"], "env": { "DENIALBOT_API_KEY": "cu_your_key_here" } } } }

Works with Claude Desktop, Claude Code, Cursor, Windsurf, and any MCP-compatible client.

2 REST API (for Apps)

Standard HTTP request from any language:

curl curl -X POST https://api.coverageunlocked.com/v1/appeal/generate \ -H "Authorization: Bearer cu_your_key" \ -H "Content-Type: application/json" \ -d '{ "denial_code": "CO-50", "diagnosis": "Type 2 Diabetes", "procedure": "CGM Device" }'

Python, Node.js, Go, Java — any language that speaks HTTP.

Sandbox tier is free — 100 requests/month, 10 appeal letters. No credit card required.

Get Your Free API Key

MCP Tools

Six tools your AI agent can call. Each one encodes 20 years of insider knowledge about how health systems process, deny, and adjudicate claims.

lookup_denial_code
Full breakdown of any denial code — what it means, why insurers use it, the regulation behind it, and the strategy that wins the appeal.
50+ codes success rates regulations
generate_appeal_letter
800-1,200 word appeal letter with clinical citations, regulatory references, and a confidence score. Written like an insider would write it.
citations confidence score deadline tracking
analyze_denial_letter
Parse a denial letter, extract the denial codes, assess urgency, and recommend the strongest counter-strategy for each reason.
OCR ready multi-code urgency scoring
list_denial_codes
Browse and filter all supported denial codes by category, insurer type, or appeal success rate. Your agent's reference library.
filterable categorized
check_usage
Real-time usage stats — requests consumed, letters generated, quota remaining. Your agent can self-manage its allocation.
real-time quota tracking
check_api_status
Verify API connectivity and service health before making requests. Built for reliability-first agent architectures.
health check uptime

Who's Building With This

From solo developers to enterprise health systems — anyone building AI that touches insurance denials.

🤖

AI Health Assistants

Give your patient-facing chatbot the ability to decode denial letters and generate appeal responses in real time. No healthcare expertise needed on your team.

🏥

Benefits Navigators

Accolade, Included Health, Transcarent — benefits navigation platforms can embed denial analysis to resolve member issues faster.

💻

EHR Add-Ons

Build denial management directly into Epic, Cerner, or Athenahealth workflows. Clinical staff get appeal support without leaving their chart.

⚖️

Patient Advocacy Firms

Automate appeal letter generation at scale. Reduce manual work by 80% while maintaining the quality that wins cases.

💰

Insurtech Platforms

Oscar, Clover, and next-gen payers can offer appeal support as a member benefit — reducing churn and improving satisfaction scores.

🛠️

Developer Side Projects

Building a healthcare tool? Add denial analysis in 60 seconds. Free sandbox tier. No enterprise sales call required.

REST API Reference

Same intelligence, standard HTTP. For teams that need direct API access without MCP.

Endpoints

POST /api/v1/appeal/generate

Generate a professional appeal letter for a denied claim

POST /api/v1/denial-code/lookup

Look up detailed information for a specific denial code

GET /api/v1/denial-codes

List all supported denial codes with filtering

POST /api/v1/appeal/analyze

Analyze a denial letter for codes, urgency, and strategy

GET /api/v1/status

API health check and uptime status

SDK Examples

python # pip install coverageunlocked from coverageunlocked import DenialBotAPI client = DenialBotAPI(api_key="cu_your_key") appeal = client.generate_appeal( denial_code="CO-50", diagnosis="Type 2 Diabetes", procedure="CGM Device", insurance_company="UnitedHealthcare" ) print(appeal.letter) print(f"Confidence: {appeal.confidence_score}%") print(f"Citations: {appeal.supporting_citations}")
javascript // npm install coverageunlocked const { DenialBotAPI } = require('coverageunlocked'); const client = new DenialBotAPI({ apiKey: 'cu_your_key' }); const appeal = await client.generateAppeal({ denialCode: 'CO-50', diagnosis: 'Type 2 Diabetes', procedure: 'CGM Device', insuranceCompany: 'UnitedHealthcare' }); console.log(appeal.letter); console.log(`Confidence: ${appeal.confidenceScore}%`);
bash curl -X POST https://api.coverageunlocked.com/v1/appeal/generate \ -H "Authorization: Bearer cu_your_key" \ -H "Content-Type: application/json" \ -d '{ "denial_code": "CO-50", "diagnosis": "Type 2 Diabetes", "procedure": "CGM Device", "insurance_company": "UnitedHealthcare", "patient_summary": "Endocrinologist-recommended CGM for glucose management" }'

Example Response

json { "appeal_letter": "Dear UnitedHealthcare Appeals Department...", "confidence_score": 0.87, "supporting_citations": [ "ADA Standards of Care 2025", "LCD L38866" ], "estimated_success_rate": "78%", "recommended_evidence": [ "Endocrinologist letter of medical necessity", "3-month glucose logs" ], "appeal_type": "internal_first_level", "deadline_days": 180 }

Pricing

Start free. Scale when your agents need more. Per-call pricing available for high-volume integrations.

Sandbox
Free

Build and test your integration

  • 100 API calls/month
  • 10 appeal letters/month
  • All endpoints
  • MCP + REST access
  • Community support
Get Free Key
Starter
$99/mo

For indie developers and small teams

  • 1,000 API calls/month
  • 100 appeal letters/month
  • All endpoints
  • MCP + REST access
  • Email support
Start Building
Enterprise
Custom

For health systems and high-volume integrators

  • Unlimited calls
  • Per-call pricing available
  • Dedicated support + SLA
  • Custom training
  • White-label options
Talk to Us

Rate Limits by Tier

Metric Sandbox Starter Professional Enterprise
Requests/month1001,00010,000Unlimited
Requests/minute51050200+
Concurrent requests12520+
Appeal letters/month101001,000Unlimited
Response timeout30s30s60s120s

Find Us On

Available on the registries where AI developers discover tools.

Built by an Insider. For Every Agent.

20 years inside health systems. 200+ denial codes decoded. Now accessible to any AI agent in 60 seconds. The MCP server is live — start building.