Specialty billing

Billing built for Optometry

Optometry billing across two payment worlds — routine vision plans and medical insurance — with clean workflows for each.

Talk to a specialty consultant

The challenges

Where optometry revenue leaks

Vision plan vs. medical insurance routing errors cause denials and patient anger
Medical eye care by optometrists is underbilled out of caution
Materials and professional services need separate financial tracking

Our playbook

How we fix it

Visit-level vision vs. medical routing rules
Medical optometry billing with confidence and compliance
Vision plan chair-cost and materials reconciliation
Diabetic eye exam capture tied to quality programs

Core solutions

What optometry clients typically use

Medical BillingEnd-to-end claim submission, scrubbing, and follow-up that gets you paid faster — engineered to a 98%+ first-pass clean claim standard.

Medical CodingAAPC- and AHIMA-certified coders delivering 95%+ accuracy across ICD-10, CPT, and HCPCS — with built-in audit protection.

CredentialingEnd-to-end provider lifecycle management — credentialing, primary source verification, expirable tracking, and AI-monitored compliance from application to recredentialing.

Denial ManagementEvery denial worked within 48 hours and root causes eliminated — because the best denial strategy is preventing the next one.

AI Revenue IntelligenceMachine learning that predicts denials before submission, prioritizes A/R by recovery probability, and finds patterns humans miss.

MIPS & Quality ReportingFull Quality Payment Program management — measure selection, data capture, submission, and score optimization that turns MIPS from a penalty risk into a payment adjustment you earn.

Get a billing health check for your optometry practice

Free, 30 minutes, with a consultant who knows your specialty's codes and payers. We'll benchmark your denial rate, A/R days, and collections — and tell you exactly what we'd fix first.

Book my free consultation