Central for Urology

The referral still arrives by fax, and the imaging auth still needs a portal.

Prostate MRI and procedure authorisations, testosterone therapy gated on repeat labs, and a referral queue split across fax, portal and phone. Central works all three channels into one.

Your data stays yours. Encrypted in transit & at rest, no training on your data.

Central for Urology

The referral still arrives by fax, and the imaging auth still needs a portal.

Prostate MRI and procedure authorisations, testosterone therapy gated on repeat labs, and a referral queue split across fax, portal and phone. Central works all three channels into one.

Your data stays yours. Encrypted in transit & at rest, no training on your data.

YOUR WEEK

We already know where your week goes.

Three things every urology practice we speak to describes, usually in the first ten minutes.

  1. Referrals arrive in three places

Fax, payer portal and phone. Each needs reading, triaging and booking, and whichever one nobody watches is the one that ages.

  1. Imaging and procedures both gated

Prostate MRI usually routes through an RBM. UroLift and Rezum carry their own criteria around prostate volume and symptom scores.

  1. Testosterone needs repeat evidence

Most plans want two morning total testosterone levels documented before therapy is approved, and the first request almost always misses one.

A 24-hour expedited review only holds if someone is watching it. Otherwise it quietly becomes a standard 72-hour review and treatment slips a week.

HOW WE WORK IT

The whole chain, not the first link.

Every step says whether an agent or one of our specialists did it. Nothing clinical or contentious is left to software.

01

All three referral channels worked

Fax, portal and phone referrals pulled into one queue and triaged the same day.

Imaging Auth

02

Procedure Criteria

03

Patient Booked

04

Denials & Exceptions

05

01

All three referral channels worked

Fax, portal and phone referrals pulled into one queue and triaged the same day.

Imaging Auth

02

Procedure Criteria

03

Patient Booked

04

Denials & Exceptions

05

NOMENCLATURE

You will not be explaining urology to us.

Our specialists are trained on your work before they touch it. This is the starting point, not the finished training.

CODES WE ALREADY KNOW

72197 MRI pelvis with and without contrast

72197 MRI pelvis with and without contrast

52441 insertion of prostatic implant (UroLift)

52441 insertion of prostatic implant (UroLift)

53850 transurethral destruction of prostate

53850 transurethral destruction of prostate

J3490 testosterone preparations

J3490 testosterone preparations

51798 post-void residual ultrasound

51798 post-void residual ultrasound

55700 prostate biopsy

55700 prostate biopsy

WHERE IT GETS DENIED

Only one testosterone level documented

Only one testosterone level documented

IPSS score not recorded before procedure

IPSS score not recorded before procedure

Prostate volume outside device criteria

Prostate volume outside device criteria

MRI without prior PSA trend

MRI without prior PSA trend

Referral authorisation expired before booking

Referral authorisation expired before booking

SYSTEMS YOU PROBABLY RUN

Epic

Epic

athenahealth

athenahealth

eClinicalWorks

eClinicalWorks

UroChart / Intergy

UroChart / Intergy

Availity

Availity

eviCore / Carelon portals

eviCore / Carelon portals

PAYER FRICTION WE EXPECT

RBM carve-outs on pelvic imaging

RBM carve-outs on pelvic imaging

Device-specific anatomical criteria

Device-specific anatomical criteria

Repeat lab requirements for testosterone

Repeat lab requirements for testosterone

Referral authorisations with expiry dates

Referral authorisations with expiry dates

THE SPLIT

The agent does one half. Our people do the other.

Everything repetitive.
Everything repetitive.

Works payer portals and practice systems directly

Works payer portals and practice systems directly

Calls payers and navigates phone trees

Calls payers and navigates phone trees

Assembles documentation out of the chart

Assembles documentation out of the chart

Recovers when a vendor redesigns a page

Recovers when a vendor redesigns a page

Runs nights, weekends and holidays

Runs nights, weekends and holidays

Everything that needs judgment.

Approves every workflow before it runs

Handles denials, appeals and peer-to-peers

Signs in where a payer demands multi-factor

Takes the call that needs a human voice

Makes the cost conversation, never a bot

Everything that needs judgment.

Approves every workflow before it runs

Handles denials, appeals and peer-to-peers

Signs in where a payer demands multi-factor

Takes the call that needs a human voice

Makes the cost conversation, never a bot

Judgment & exceptions

Approves every workflow before it runs

Handles denials, appeals and peer-to-peers

Signs in where a payer demands multi-factor

Takes the call that needs a human voice

Makes the cost conversation, never a bot

PROOF

Most AI vendors have never worked a denial.

Wing has staffed the back office of 10,000 companies. Central is the agent layer built on top of people who already know what a peer-to-peer is.

Provida Family Medicine

Needed clinic operations streamlined

50% faster admin ops

35% fewer billing errors

25% faster claims

They have a robust platform that makes communicating with our VA incredibly easy. It also helps that they act quickly and are incredibly responsive.

Christine Mulvey

Director of Marketing, charlesgate.com

COMMON QUESTIONS

COMMON QUESTIONS

Questions, before you book.

Can you work inbound faxes?

Yes. Fax is still a primary referral channel in urology, and it is usually the one with no owner. We pull fax, portal and phone into a single queue so nothing ages by default.

Do you book the patient after approval?

Yes. An authorised referral that never becomes an appointment is the most common way a urology referral is lost.

How quickly can we start?

One call is your whole part of the setup. We watch how the work is done today, build the workflow, and your lead approves every step before anything runs. Typical time to go live is around 48 hours for the first service.

What happens to patient data?

A BAA is signed before a single patient record is touched. Central is SOC 2 certified, HIPAA compliant and ISO 27001, work runs on managed devices with a full audit trail, and credentials stay encrypted and are never shared.

Can you work inbound faxes?

Yes. Fax is still a primary referral channel in urology, and it is usually the one with no owner. We pull fax, portal and phone into a single queue so nothing ages by default.

Do you book the patient after approval?

Yes. An authorised referral that never becomes an appointment is the most common way a urology referral is lost.

How quickly can we start?

One call is your whole part of the setup. We watch how the work is done today, build the workflow, and your lead approves every step before anything runs. Typical time to go live is around 48 hours for the first service.

What happens to patient data?

A BAA is signed before a single patient record is touched. Central is SOC 2 certified, HIPAA compliant and ISO 27001, work runs on managed devices with a full audit trail, and credentials stay encrypted and are never shared.

GOVERNANCE

Built for PHI, and for audit.

Enterprise healthcare buyers need more than a badge. These are the controls that keep the operating model defensible to compliance, security and your payers.

BAA before access

Executed before any patient data is touched. Pilots run on test accounts until it is in place.

Workflow approval

No workflow runs in production until your named lead has reviewed and approved every step.

Credential protection

Credentials are stored encrypted, used inside controlled sessions and never shared between personnel.

Action history

Every action is attributable to an agent or a named specialist, with a full audit trail.

Controlled access

Managed devices, role-based access and least-privilege scoping to only the systems a workflow needs.

Defined escalation

The conditions under which an agent stops and a person takes over are configured with you, not inferred.

Central Get your hours back.

Tell us the job you cannot keep staffed.

Twenty minutes, no deck. Name it and we will work one in front of you, live, on a test account.

Central Get your hours back.

Tell us the job you cannot keep staffed.

Twenty minutes, no deck. Name it and we will work one in front of you, live, on a test account.