protogrid

Search / io.github.builtforai/coverage-exception

coverage-exception

R0· no sign-in

Why Medicare Part D restricts a drug, and the exception and appeal path to challenge it

v1.0.0 · active · repository · website · descriptor JSON · versions

An agent can connect right now, no human step.Remote endpoint, no authentication, reachable on the last probe.
Quality79good
Trust90of 100
Uptime, 30 days98%
Latency p50222 ms

Connect

8 clients · secrets stay placeholders
{
  "mcpServers": {
    "coverage-exception": {
      "type": "http",
      "url": "https://insurewith.ai/mcp"
    }
  }
}
claude mcp add --transport http coverage-exception https://insurewith.ai/mcp
[mcp_servers.coverage-exception]
url = "https://insurewith.ai/mcp"
{
  "$schema": "https://opencode.ai/config.json",
  "mcp": {
    "coverage-exception": {
      "type": "remote",
      "url": "https://insurewith.ai/mcp",
      "enabled": true
    }
  }
}
{
  "mcpServers": {
    "coverage-exception": {
      "type": "http",
      "url": "https://insurewith.ai/mcp"
    }
  },
  "deeplink": "cursor://anysphere.cursor-deeplink/mcp/install?name=coverage-exception&config=eyJ0eXBlIjoiaHR0cCIsInVybCI6Imh0dHBzOi8vaW5zdXJld2l0aC5haS9tY3AifQ%3D%3D"
}
{
  "servers": {
    "coverage-exception": {
      "type": "http",
      "url": "https://insurewith.ai/mcp"
    }
  }
}
{
  "mcpServers": {
    "coverage-exception": {
      "httpUrl": "https://insurewith.ai/mcp"
    }
  }
}
extensions:
  "coverage-exception":
    enabled: true
    name: "coverage-exception"
    type: streamable_http
    uri: "https://insurewith.ai/mcp"
    timeout: 300

Quality 79 / 100good

protocol75 · weight 25
  • warn
    protocol.modernnewest supported version is 2024-11-05; 2026-07-28 not supported, older versions are deprecated until 2027-07-28
  • n/a
    protocol.statelessonly applies to 2026-07-28 servers
  • pass
    protocol.transportstreamable HTTP
  • n/a
    protocol.list_ttlonly applies to 2026-07-28 servers
authorizationn/a · weight 15
  • n/a
    auth.prm, auth.as_metadata, auth.cimdno remote uses OAuth
  • n/a
    auth.secret_in_urlno templated URL
tool hygiene71 · weight 30
  • pass
    tools.descriptionsevery tool has a description
  • pass
    tools.description_lengthdescriptions are concise
  • pass
    tools.schemasevery tool has an object input schema
  • fail
    tools.annotationsno tool declares readOnlyHint or destructiveHint, so clients cannot tell safe calls from risky ones
  • fail
    tools.directory_hintsno tool declares all four of readOnlyHint, destructiveHint, idempotentHint and openWorldHint; missing: medicare_part_d_out_of_pocket_cap (readOnlyHint, destructiveHint, idempotentHint, openWorldHint); medicare_coverage_restriction_and_exception (readOnlyHint, destructiveHint, idempotentHint, openWorldHint)
  • pass
    tools.token_costabout 500 tokens to load every tool
  • pass
    tools.api_dumptools are not a one-to-one API dump
stability100 · weight 15
  • pass
    stability.changesno tool changes in 30 days
  • pass
    stability.rug_pullno tool changed its meaning under the same name
dependenciesn/a · weight 15
  • n/a
    deps.known_vulns, deps.mcp_sdk_version, deps.resolvableno npm or PyPI package

2 tools, about 500 tokens to load them all · tool set bfa9d924e31b · checked 2026-10-19 10:20 UTC

Tool changes

No tool definition changes recorded. A server's first observation is its baseline; later probes record what changes.

Checks run on what our credential-free, read-only probes observe; tools are never called and no code audit is performed. How it is computed.

Trust 90 / 100

duplicate-repo
provenance90
liveness99
freshness85
hygiene80

+repository +namespace-matches-repo +website +reachable +uptime-98% ~updated-31d-ago -duplicate-repo(5 names)

Derived from observable signals (official registry feed and our own credential-free probes); no code audit performed. How it is computed.

Endpoints

remoteauthreachableuptime 30dp50protocollast ok
https://insurewith.ai/mcp streamable-httpnoneyes98%222 ms2024-11-052026-10-19

Tools (2)

medicare_coverage_restriction_and_exceptionFor a drug on Medicare Part D, name the coverage problem — covered, prior authorization, step therapy, quantity limit, or not on formulary — and give the exception and appeal path with the CMS-named levels of appeal, who must submit the request, and what to ask the plan and the prescriber. Returns per-plan flag counts across plans held. Plan-specific clinical criteria and appeal deadlines are NOT held and are never inferred; they are returned in an explicit "unavailable" block rather than guessed.
medicare_part_d_out_of_pocket_capProject month-by-month Medicare Part D out-of-pocket spending against the statutory annual cap, identify the month the cap is reached, quantify what the cap itself saves, and compare normal payment timing against the Medicare Prescription Payment Plan — which spreads the SAME total across the year without reducing it. Supports plan years 2026 and 2027 and fails closed to 2026 for any unsupported year rather than extrapolating. This is a standard-benefit simulation, NOT a plan-specific pharmacy quote: plan negotiated prices and plan cost sharing are not held and are never inferred.

Schemas: list_tools.

Also listed as

4 other active names share this repository: io.github.builtforai/generic-timeline, io.github.builtforai/loe-exposure, io.github.builtforai/part-d-cap, io.github.builtforai/procedure-coverage

Similar MCP servers

More from io.github.builtforai

Official server.json
{
  "name": "io.github.builtforai/coverage-exception",
  "$schema": "https://static.modelcontextprotocol.io/schemas/2025-12-11/server.schema.json",
  "remotes": [
    {
      "url": "https://insurewith.ai/mcp",
      "type": "streamable-http"
    }
  ],
  "version": "1.0.0",
  "repository": {
    "url": "https://github.com/builtforai/builtforai-healthcare",
    "source": "github"
  },
  "websiteUrl": "https://insurewith.ai/",
  "description": "Why Medicare Part D restricts a drug, and the exception and appeal path to challenge it"
}