For Urology Practices

Insurance Eligibility Service for Urology Practices

EligibilityMD is an end-to-end insurance eligibility service for urology practices — covering office visits, in-office procedures, and surgical cases that often carry strict prior authorization requirements.

The problem

Urology procedure mix spans low-friction office visits to high-cost surgical cases with payer-specific prior auth requirements. Missing an authorization on a cystoscopy or stone procedure can swing a single case from profitable to a five-figure write-off, and your team can't verify every appointment manually without burning out.

What EligibilityMD does

We run a complete eligibility and prior auth check on every appointment and procedure 1–3 days early, with payer- and CPT-specific rules already encoded. Clean cases require no staff time. Exceptions route to the right person on your team with payer notes attached so they can resolve in minutes, not hours.

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