For Specialty Practices
Reduce Insurance Claim Denials for Specialty Practices
EligibilityMD reduces insurance claim denials for specialty medical practices by catching coverage and authorization issues 1–3 days before the visit — instead of weeks after.
The problem
Roughly 20% of claims are denied on first submission, and around 60% of those are never successfully resubmitted. For a specialty practice, that's not a billing issue — it's a six- or seven-figure annual leak. Most of those denials are preventable: inactive coverage, missing prior auth, out-of-network providers, and benefit category mismatches that anyone could have caught in advance.
What EligibilityMD does
We verify every scheduled appointment 1–3 days early — eligibility, benefits, deductibles, in-network status, and prior auth — so the issues that drive denials are surfaced before the patient ever walks in. Your billing team stops working denials and starts working clean claims.
What changes for your practice
- +Eligibility-based denial rate below 10% within 60 days
- +Coverage and authorization issues caught 1–3 days early
- +75% reduction in front-desk verification time
- +Measurable lift in clean-claim rate by month two
Backed by our 90-day guarantee. If we don't hit the benchmarks we put in writing, you get your money back.
See also