For Orthopedic Groups
Insurance Eligibility Verification for Orthopedic Practices
EligibilityMD automates insurance eligibility verification for orthopedic groups — so your front desk stops doing it manually and coverage problems get caught before the patient walks in, not after the claim is denied.
The problem
Your front desk is logging into United, Aetna, and Blue Cross portals one by one, spending 10–20 minutes per patient, and still missing things. Coverage issues show up day-of, or worse — weeks later when a claim comes back denied. Orthopedic practices are especially exposed: a missed prior auth on a surgical case can cost thousands in write-offs with no recovery path.
What EligibilityMD does
We connect directly to your scheduling system and run a full eligibility check on every upcoming appointment 1–3 days before the visit. Active coverage, benefit details, deductibles, in-network status, and prior auth flags — all verified automatically. Clean cases require zero staff time. Anything flagged routes to the right person on your team with all the context already attached.
What changes for your practice
- +75% reduction in eligibility verification time
- +Coverage issues caught 1–3 days before the visit
- +Eligibility-based denial rate below 10% within 60 days
- +Your front desk focuses on patients, not payer portals
Backed by our 90-day guarantee. If we don't hit the benchmarks we put in writing, you get your money back.
See also