INDIVIDUAL MCP TOOL

external_review_outcomes

From every California Independent Medical Review decision since 2001 (public DMHC data): the share of denials for a treatment (and optionally a diagnosis category) that independent reviewers overturned, with N, years, what the reviewers' findings mention in overturned cases, and the page URL.

apellica.comnone authenticationAvailability not checked

LIVE ENDPOINT

https://apellica.com/api/mcp

No auth detected

Connect to this endpoint to inspect the live schema for external_review_outcomes and invoke it with your own arguments.

Indexed input schema

{}

Risk classification

Inferred read-only · medium confidence · heuristic, not a guarantee.

A tool name or description suggests retrieving external content.

Parent server

apellica.com

CONNECT WITH APPROVAL

Client installation

Review this server and its permissions before adding it. Secret placeholders must be set locally.

Codex

~/.codex/config.toml

[mcp_servers.apellica-denial-checker]
url = "https://apellica.com/api/mcp"
enabled = true

Claude Code

.mcp.json

{
  "mcpServers": {
    "apellica-denial-checker": {
      "type": "http",
      "url": "https://apellica.com/api/mcp"
    }
  }
}

Claude Desktop

Settings → Connectors → Add custom connector

Name: apellica-denial-checker
Remote MCP URL: https://apellica.com/api/mcp

Add this remote URL as a custom connector in Claude Desktop. Availability depends on the user plan and workspace policy.

Cursor

.cursor/mcp.json

{
  "mcpServers": {
    "apellica-denial-checker": {
      "url": "https://apellica.com/api/mcp"
    }
  }
}

Visual Studio Code

.vscode/mcp.json

Add to Visual Studio Code

{
  "servers": {
    "apellica-denial-checker": {
      "type": "http",
      "url": "https://apellica.com/api/mcp"
    }
  }
}

Generic MCP

Client-specific MCP configuration

{
  "name": "apellica-denial-checker",
  "transport": "streamable-http",
  "url": "https://apellica.com/api/mcp"
}

MCP Inspector

Run the official MCP Inspector locally and enter the indexed Streamable HTTP endpoint.

Related tools

decode_denial_reason — Explain a phrase from a US health-insurance denial letter (for example 'not medically necessary', 'experimental', 'prior authorization required', 'step therapy', 'formulary exclusion').
appeal_deadline — Estimate the internal-appeal filing deadline and the external-review window for a US health-insurance denial from the denial date and the plan type.
state_appeal_directory — For a US state, return the insurance regulator that handles consumer complaints and external review requests, its website, and a summary of that state's external-review process.
how_to_start_an_appeal — Return what Apellica does, what it costs, what a person needs to have ready, and the link and phone number to start a free denial review.
insurer_denial_stats — For a US health insurer selling on HealthCare.gov, return the in-network claim denial rate, internal-appeal overturn rate and external-review outcomes it reported to CMS (Transparency in Coverage public use file), with counts, the state median for context, and caveats (two-year lag, in-network only, includes administrative denials).
plan_funding_lookup — Look up a US employer's health plan in the Department of Labor's public Form 5500 filings and say whether the medical benefit is self-funded (federal ERISA rules, federal external review, state insurance law generally does not apply) or insured (state rules and state external review apply), with the plan administrator's address for a claim-file request and the carriers on file.