Grand Rounds in Urology Contributing Editor Neil H. Baum, MD, Professor of Urology at Tulane Medical School, discusses how to and why one should advocate for patients following a denial of coverage by an insurance company. He explains why insurers deny coverage for mediations, services, durable medical goods, and treatments, noting that even if a rejection is successfully appealed, the process adds weeks or months to the reimbursement. Dr. Baum shares a success story of going the extra mile for a patient and the lessons he learned from that experience. He highlights the value of pursuing these cases, particularly the most egregious rejections. While appealing a rejection will not always be successful, he contends that nothing provides as much satisfaction as advocating for one’s patient.