Program Integrity Alliance vs Insurance Denials
Program Integrity Alliance is an MCP server published by Program-Integrity-Alliance. Marketplaces we read that list it: 1 (Docker MCP Catalog). Insurance Denials is an MCP server published by pipeworx-io. Marketplaces we read that list it: 1 (Official MCP Registry). As of our marketplace pass on 2026-10-29. This pair was picked by a reader, not by our comparison rule, so search engines are asked not to index the page.
Where each is published
| Marketplace |  Program Integrity Alliance |  Insurance Denials |
|---|---|---|
| Docker MCP Catalog | Listed Version: sha256:7b4f383fd466 Forks (GitHub): 1 Pulls (Docker Hub): 13 791 Stars (Docker Hub): 1 Stars (GitHub): 4 Not marked · First seen |
Not listed |
| Official MCP Registry | Not listed | Listed Version: 0.2.0 Forks (GitHub): 0 Stars (GitHub): 0 Not marked · First seen |
Each figure is the marketplace's own and is never added up across marketplaces. A marketplace that publishes no figure shows none: no number is not zero.
The facts side by side
| Fact | Program Integrity Alliance | Insurance Denials |
|---|---|---|
| Marketplaces that list it | 1 | 1 |
| Stars (GitHub) (differs) | 4 (better) | 0 (worse) |
| Pulls (Docker Hub) (differs) | 13 791 | No figure on Docker Hub |
| Forks (GitHub) (differs) | 1 (better) | 0 (worse) |
| Last release (differs) | Not published | 2026-10-29 |
| Where it runs (differs) | On your machine (mcp/pia) | Remote server (gateway.pipeworx.io/insurance-denials/mcp) |
| Transport (differs) | stdio | Streamable HTTP |
| Tools it declares (differs) | 2 | Not published |
| Environment variables it asks for | 1, secrets among them: 1 | 1, secrets among them: 1 |
| Licence (differs) | MIT | Not stated |
| Repository (differs) | github.com/program-integrity-alliance/pia-mcp-local | github.com/pipeworx-io/mcp-insurance-denials |
| Changes in the last 7 days (differs) | 0 | 4 |
| First seen | 2026-10-11 | 2026-10-11 |
| Endpoint at the last check (differs) | no remote endpoint we check | Responded 5 days ago |
Lines where the two differ have a tinted background and bold values. Where the data itself says which value is better (more marketplaces, a larger figure of the same marketplace, a fresher release, a verified mark on a marketplace that lists both), the better one is also marked green with ▲ and the worse one red with ▼. Where it runs, the transport, the tools, the settings, hooks, the bundle's parts, the licence and the week's changes are marked only as different: more or fewer is not better in itself.
What each says it does
Program Integrity Alliance
An MCP server to help make U.S. Government open datasets AI-friendly.
Insurance Denials
US health-insurance claim denials and appeal outcomes, by insurer.
How to run each
Program Integrity Alliance As a local MCP server: Docker image
claude mcp add --env "PIA_API_KEY=<YOUR_PIA_API_KEY>" --transport stdio pia -- docker run -i --rm -e PIA_API_KEY mcp/piaRequires: PIA_API_KEY (secret)
Insurance Denials As a remote MCP server
claude mcp add --transport http insurance-denials https://gateway.pipeworx.io/insurance-denials/mcpRequires: PIPEWORX_API_KEY (secret)
Commands built only from what the marketplaces declare; the full set for every client is on each card.
Only Insurance Denials has a remote endpoint we check. How we check endpoints
Tools each declares
Only Program Integrity Alliance has
pia_oversight_recommendationspia_search
Only Insurance Denials has
ai_visibility_checkarchive_comparearchive_evidenceask_pipeworxask_pipeworx_betaask_pipeworx_groundedbet_researchclassify_rowcompany_factscompare_entitiesdeep_researchdiscover_tools
Show the remaining 32
entity_profileforgetgenerate_llms_txtinsurer_appeal_outcomesinsurer_denial_coverageinsurer_denial_profileinsurer_denial_rateskalshi_weather_edgelist_subscriptionspipeworx_feedbackpipeworx_trendingpolymarket_arbitragepolymarket_edge_trackerpolymarket_edgespolymarket_fill_riskpolymarket_kalshi_spreadrecallrecent_alertsrecent_changesrelease_calendar_marketsrememberresearch_rowresolution_auditresolution_diffresolve_entityscan_competitor_ai_presencescan_dependencysearch_withinsubscribesuggest_questionsunsubscribevalidate_claim
Both have
None
Tool names as the marketplaces declare them and as Ext Ops observed them on the endpoints (Insurance Denials as of 2026-10-12). More tools is not better in itself: compare what each needs for the job.
Settings each asks for
Only Program Integrity Alliance asks for
PIA_API_KEY (secret)
Only Insurance Denials asks for
PIPEWORX_API_KEY (secret)
Settings as each marketplace publishes them. Asking for fewer is not better in itself.
What it can do: Program Integrity Alliance · What it can do: Insurance Denials · Compare two other plugins
Data comes from the Docker MCP Catalog (desktop.docker.com/mcp/catalog) and Docker Hub. Data comes from the Official MCP Registry (registry.modelcontextprotocol.io), CC0 1.0. Figures come from our own regular passes over the marketplaces, last read on . We publish no contact details for plugin publishers.