io.github.builtforai/coverage-exception
io.github.builtforai/coverage-exception · v1.0.0 · MCP 2024-11-05
Why Medicare Part D restricts a drug, and the exception and appeal path to challenge it
Reachability
reachable
checked 2026-09-20 05:30 UTC
Registry status active
Tools pinned 2
ccbde8a56208
Tools last changed
unchanged since first capture 2026-09-19
Provenance
Registry namespace io.github.builtforai
(GitHub-account verified by the official registry)
Repository
github.com/builtforai/builtforai-healthcare
repo gone
Website
https://insurewith.ai/
Remote endpoints
https://insurewith.ai/mcp (streamable-http)
Observed changes
| When (UTC) | Event | Detail |
|---|---|---|
| 2026-09-19 05:30 | first capture | 2 tools pinned |
Pinned tool definitions (2)
| Tool | Description |
|---|---|
| medicare_part_d_out_of_pocket_cap | Project 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... |
| medicare_coverage_restriction_and_exception | For 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... |
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