MCP App Store
by KeenEthics
Legal
Appeal My Claim icon

Appeal My Claim

by Good Turn Studio

Overview

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. What it can do: appeal rights, steps and free help for a plan type and state; how long someone has to appeal, and how fast the plan must decide; explain the denial codes on an Explanation of Benefits; draft an appeal letter for the user to review and send. Read-only: it looks things up and returns an answer with a ready-made summary. No sign-in, and nothing about you is stored. Built by Good Turn Studio. More at https://appealmyclaim.pages.dev

Tools

draft_appeal_letter

Claude
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 anything.

explain_denial_code

Claude
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 appeal fits.

get_appeal_deadlines

Claude
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.

get_appeal_rights

Claude
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 the plan type is not known, leave it out to get the rules for most private plans.

App Stats

4

Tools

Claude

Platforms

Works with

Claude

Data refreshed daily