{"$schema":"https://verifymcp.io/schemas/trust-report.json","schemaVersion":1,"license":{"name":"CC BY-NC 4.0","url":"https://creativecommons.org/licenses/by-nc/4.0/"},"generatedAt":"2026-11-05T16:40:48.779Z","url":"https://verifymcp.io/servers/pipeworx-io-insurance-denials/pipeworx-mcp-insurance-denials","markdownUrl":"https://verifymcp.io/servers/pipeworx-io-insurance-denials/pipeworx-mcp-insurance-denials.md","server":{"slug":"pipeworx-io-insurance-denials","name":"Insurance Denials","registryName":"io.github.pipeworx-io/insurance-denials","description":"US health-insurance claim denials and appeal outcomes, by insurer.","registryStatus":"active","deletedAt":null,"statusMessage":null,"liveness":"live","publisher":{"class":"unknown","claimed":false}},"component":{"slug":"pipeworx-mcp-insurance-denials","type":"npm","identifier":"@pipeworx/mcp-insurance-denials","withdrawn":false,"url":"https://verifymcp.io/servers/pipeworx-io-insurance-denials/pipeworx-mcp-insurance-denials","version":"0.2.1","transport":"stdio","scoredAt":"2026-11-05T00:11:49.880Z"},"score":{"total":81,"tier":"high trust","status":"scored","weekDelta":3,"history":[{"date":"2026-11-05","total":81},{"date":"2026-11-04","total":81},{"date":"2026-11-03","total":80},{"date":"2026-11-02","total":54},{"date":"2026-11-01","total":78},{"date":"2026-10-31","total":78},{"date":"2026-10-30","total":78},{"date":"2026-10-29","total":78}]},"categories":[{"name":"Supply Chain Security","score":100,"verdict":"pass","reasons":["No malware found by supply-chain analysis.","No known CVEs affecting this package version or its production dependencies.","No install/post-install scripts declared.","No production dependencies, so there is no dependency health to assess."],"codes":[{"code":"supplychain.malware_clean","args":{}},{"code":"cve.none","args":{}},{"code":"installscript.none","args":{}},{"code":"dephealth.no_dependencies","args":{"deps":"0","unhealthy":"0"}}]},{"name":"Provenance & Transparency","score":97,"verdict":"fail","reasons":["Source repository is publicly reachable at the declared URL.","Cryptographically verified build provenance (signed, bound to pipeworx-io/mcp-insurance-denials).","Clear OSI-approved license (MIT).","Actively maintained (last published 2 days ago).","Disclosure check failed: no security disclosure policy was found in the source repository."],"codes":[{"code":"provenance.repo_verified","args":{}},{"code":"provenance.verified","args":{"repo":"pipeworx-io/mcp-insurance-denials"}},{"code":"license.osi","args":{"spdx":"MIT"}},{"code":"maintenance.recent","args":{"age_days":"2"}},{"code":"disclosure.absent","args":{}}]},{"name":"Schema Quality & AI Usability","score":59,"verdict":"fail","reasons":["AI-judged instruction clarity (good).","Context-footprint check failed: tool/resource definitions use about 1039 tokens (~259/item across 4 items; 4 tools + 0 resources), over budget; trim descriptions and params.","Usage-examples check failed: none of the tools include examples."],"codes":[{"code":"schema.ai_quality","args":{"band":"good"}},{"code":"schema.footprint_heavy","args":{"avg":"259","items":"4","tools":"4","tokens":"1039","resources":"0"}},{"code":"schema.examples_absent","args":{}}]},{"name":"Stability & Change Management","score":23,"verdict":"partial","reasons":["Stability observed for 7 of 30 days with no destabilising changes; credit accrues until the full window elapses."],"codes":[{"code":"stability.building_history","args":{"days":"7"}}]},{"name":"Tool Coverage","score":100,"verdict":"pass","reasons":["100% of tools have a non-trivial description (not blank, and not just the tool's name).","100% of tool parameters carry a description."],"codes":[{"code":"toolquality.descriptions","args":{"pct":"100"}},{"code":"toolquality.param_docs","args":{"pct":"100"}}]},{"name":"Tool Safety","score":100,"verdict":"pass","reasons":["No prompt-injection markers were found in the server instructions, tool names or descriptions we captured.","We read all 4 captured tool definition(s), and no name or description among them implies an irreversible operation.","An AI judge read all 5 captured unit(s) of tool text and found none that tries to manipulate the model reading it."],"codes":[{"code":"toolsafety.injection_clean","args":{}},{"code":"toolsafety.destructive_none","args":{"tools":"4"}},{"code":"toolsafety.manipulation_clean","args":{"units":"5","judged":"5"}}]},{"name":"Capabilities","score":100,"verdict":"pass","reasons":["Implements a supported MCP spec version (2025-11-25); the latest is 2026-07-28."],"codes":[{"code":"protocol.supported","args":{"latest":"2026-07-28","version":"2025-11-25"}}]}],"inconclusive":[],"malware":[],"components":[{"slug":"insurance-denials-mcp","type":"remote","identifier":"https://gateway.pipeworx.io/insurance-denials/mcp","withdrawn":false,"score":63,"current":false,"url":"https://verifymcp.io/servers/pipeworx-io-insurance-denials/insurance-denials-mcp","markdownUrl":"https://verifymcp.io/servers/pipeworx-io-insurance-denials/insurance-denials-mcp.md"},{"slug":"pipeworx-mcp-insurance-denials","type":"npm","identifier":"@pipeworx/mcp-insurance-denials","withdrawn":false,"score":81,"current":true,"url":"https://verifymcp.io/servers/pipeworx-io-insurance-denials/pipeworx-mcp-insurance-denials","markdownUrl":"https://verifymcp.io/servers/pipeworx-io-insurance-denials/pipeworx-mcp-insurance-denials.md"}],"facts":[{"label":"Registry","value":"npm"},{"label":"Package","value":"@pipeworx/mcp-insurance-denials"},{"label":"Version","value":"0.2.1"},{"label":"Transport","value":"stdio"}],"install":{"available":true,"bundleSha256":null},"tools":[{"name":"insurer_denial_rates","title":null,"description":"Which health insurers deny the most claims — US marketplace issuers ranked by the share of in-network claims they denied, for plan year 2026. 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Sourced from the CMS Transparency in Coverage Public Use File, which insurers report into under federal rule; covers HealthCare.gov states only, so issuers on state-run exchanges such as California and New York are not present.","inputs":[{"name":"limit","type":"number","required":false,"description":"How many issuers to return (default 20, max 200)."},{"name":"market","type":"string","required":false,"description":"Restrict to issuers participating in a market: \"medical\" / \"QHP\", \"dental\" / \"SADP\" for standalone dental, or \"SHOP\" for small-group. Selects issuers; it does not split an issuer's claim counts, whic…"},{"name":"order","type":"string","required":false,"description":"\"highest\" (default) ranks the biggest deniers first; \"lowest\" ranks the smallest."},{"name":"state","type":"string","required":false,"description":"Two-letter US state code to filter by, e.g. \"TX\", \"FL\". Omit for all states."}],"outputs":[],"hasOutputSchema":false,"hasExamples":false,"tokenEstimate":359},{"name":"insurer_appeal_outcomes","title":null,"description":"Does appealing a denied health-insurance claim work? Marketplace issuers ranked by the share of appeals that were OVERTURNED in the patient's favour, plan year 2026. Answers \"is it worth appealing a denied claim\", \"what percentage of insurance appeals succeed\", \"how often does <company> reverse a denial\", and which insurer most often changes its mind. Returns internal appeals (decided by the insurer itself) and external appeals (decided by an independent reviewer) separately, with how many were filed, how many were overturned, and the overturn percentage — the two differ a lot and the external number is the independent one. Sourced from the CMS Transparency in Coverage Public Use File; covers HealthCare.gov states only, so state-run exchanges such as California and New York are not present.","inputs":[{"name":"appeal_type","type":"string","required":false,"description":"\"internal\" (default, decided by the insurer) or \"external\" (decided by an independent reviewer)."},{"name":"limit","type":"number","required":false,"description":"How many issuers to return (default 20, max 200)."},{"name":"market","type":"string","required":false,"description":"Restrict to issuers participating in \"medical\" / \"QHP\", \"dental\" / \"SADP\", or \"SHOP\". Selects issuers rather than splitting their figures. Omit for all."},{"name":"order","type":"string","required":false,"description":"\"highest\" (default) ranks the most-overturned first; \"lowest\" ranks the least."},{"name":"state","type":"string","required":false,"description":"Two-letter US state code to filter by, e.g. \"TX\". Omit for all states."}],"outputs":[],"hasOutputSchema":false,"hasExamples":false,"tokenEstimate":327},{"name":"insurer_denial_profile","title":null,"description":"Everything reported for ONE named health insurer: claims received and denied in and out of network, the denial rate, and both internal and external appeal outcomes, for plan year 2026. Use when a caller names a company — \"how often does Ambetter deny claims\", \"Blue Cross denial rate in Texas\", \"what happens if I appeal with Oscar\". Matches on the insurer's name and is forgiving about punctuation, case and partial names; an issuer selling in several states returns one entry per state, since CMS reports these figures per issuer per state. Sourced from the CMS Transparency in Coverage Public Use File; covers HealthCare.gov states only.","inputs":[{"name":"insurer","type":"string","required":true,"description":"Insurer name or part of one, e.g. \"Ambetter\", \"Blue Cross Blue Shield of Texas\", \"oscar\"."},{"name":"state","type":"string","required":false,"description":"Optional two-letter state code to narrow a multi-state insurer, e.g. \"TX\"."}],"outputs":[],"hasOutputSchema":false,"hasExamples":false,"tokenEstimate":196},{"name":"insurer_denial_coverage","title":null,"description":"What this data covers before you rely on it: the plan year, how many issuers and states are present, which states are included, and the counts of issuers whose denial or appeal figures CMS suppressed. Use to check whether a state or insurer is in scope at all, and to tell \"we hold no data for this state\" apart from \"this state's insurers deny nothing\" — the CMS Transparency in Coverage file covers HealthCare.gov states only.","inputs":[],"outputs":[],"hasOutputSchema":false,"hasExamples":false,"tokenEstimate":102}],"toolsTruncatedAtCapture":false,"diagnostics":{"capturedAt":"2026-11-05T00:11:49.000Z","track":"package","endpoint":null,"declaredUrl":null,"truncated":false,"tls":null,"dnssec":null,"auth":null,"httpsRedirect":null,"transports":[],"provenance":{"outcome":"verified","label":"Verified","reason":"verified","reasonLabel":"Verified","discovery":"attestation_endpoint","discoveryLabel":"Registry attestation endpoint","sourceRepo":null,"attestationSkipped":null,"attestationSkippedLabel":null},"installScripts":[],"installScriptsTotal":null,"vulnerabilities":[],"vulnerabilitiesTotal":null,"dependencies":{"nodes":0,"partial":false,"deprecated":null,"stale":null,"noRepo":null}},"mismatches":[],"changelog":{"trackingSince":"2026-10-29","recent":[{"id":"chg_01a1a3ec-112d-7ba2-a1ef-487b7928024f","kind":"score.total_changed","summary":"Trust score (80 → 81)","materiality":"functional","direction":"improvement","scoreDelta":1,"occurredOn":"2026-11-04","url":"https://verifymcp.io/servers/pipeworx-io-insurance-denials/pipeworx-mcp-insurance-denials#chg-chg_01a1a3ec-112d-7ba2-a1ef-487b7928024f"},{"id":"chg_01a19ee2-a100-733f-8024-da133deaf0af","kind":"check.reverified","summary":"Known CVEs (unverified → 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report","href":"https://socket.dev/npm/package/@pipeworx/mcp-insurance-denials"},{"label":"Repository","href":"https://github.com/pipeworx-io/mcp-insurance-denials"},{"label":"Website","href":"https://pipeworx.io/packs/insurance-denials"}]}}