Optometry
Comprehensive Support for Optometry Providers
Optometry practices require efficient credentialing, billing, and revenue cycle management to navigate the complexities of vision and medical insurance reimbursement. Whether you provide routine eye care, vision correction, or medical optometric services, Solubillix ensures your practice runs smoothly, allowing you to focus on patient care while we handle administrative and financial processes.
Questions? Please mail us at info@solubillix.com
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Optometry Practice Solutions
Specialties We Support
We provide expert solutions for all optometry professionals, including:
✅Optometrists (ODs) – Primary eye care providers diagnosing and treating vision and ocular health conditions.
✅Ophthalmologists (MD/DO) – Specialists performing surgical and medical eye care treatments.
✅Opticians – Experts in dispensing and fitting prescription eyewear.
✅Vision Therapy Specialists – Providers focusing on eye movement, coordination, and rehabilitation.
✅Low Vision Rehabilitation Experts – Professionals aiding patients with severe visual impairment.
All-in-One Optometry Services
1. Credentialing & Payer Enrollment
Credentialing in optometry involves both vision and medical insurance payers, ensuring providers can bill for routine vision exams, glasses/contact lenses, and medical eye care services. We simplify the process for seamless reimbursements.
✅Medicare, Medicaid & Commercial Insurance Credentialing
✅Vision Insurance Enrollment (VSP, EyeMed, Davis Vision, Spectera, etc.)
✅EDI, ERA, and EFT Enrollment for Fast Electronic Payments
✅Re-Credentialing & Contract Renewals
2. Medical & Vision Billing for Optometry
Optometry billing is unique because it involves both vision insurance (routine eye exams, refractions, corrective lenses) and medical insurance (ocular diseases, emergency eye care, and surgical co-management). We ensure the right claims go to the correct payers.
✅Medical vs. Vision Insurance Coordination for Maximum Reimbursement
✅CPT & ICD-10 Coding for Eye Exams, Procedures & Medical Conditions
✅Claims Submission, Reconciliation & Denial Management
✅Authorization & Eligibility Verification for Vision & Medical Services
3. EHR/EMR Setup & Integration
Optometry practices rely on EHR/EMR software designed for eye care to streamline patient exams, prescriptions, and insurance documentation. We assist in selecting and implementing the best system.
✅Optometry-Specific EHR Setup & Customization
✅Integration with Optical Lab & Lens Ordering Systems
✅Telehealth Solutions for Remote Eye Consultations
✅HIPAA-Compliant Data Security & Documentation
4. Compliance & Regulatory Support
Optometry practices must comply with HIPAA, Medicare, Medicaid, and private insurance regulations to avoid legal risks and billing errors. We ensure your practice follows all necessary guidelines.
✅Vision & Medical Insurance Billing Compliance
✅Medicare & Medicaid Documentation & Reimbursement Compliance
✅Audit Readiness & Risk Management
✅State Licensing & Credentialing Assistance
5. Revenue Cycle Management & Practice Growth
Optimizing revenue cycle management (RCM) ensures optometry practices receive timely payments while minimizing claim denials. We provide financial solutions to maximize reimbursement and improve cash flow.
✅Financial Performance Tracking & Revenue Optimization
✅Payer Contract Negotiation & Fee Schedule Adjustments
✅Practice Expansion Consulting & Business Growth Strategies
✅Marketing & Referral Network Support for Optometrists
Types of Optometry Services Billed
✅Routine Eye Exams & Refractions (CPT 92002, 92004, 92012, 92014)
✅Comprehensive Eye Exams with Medical Diagnosis (CPT 92004, 92014, 92015)
✅Contact Lens Evaluations & Fittings (CPT 92310, 92311, 92312, 92313)
✅Medical Eye Condition Management (ICD-10 Codes H52-H59)
✅Glaucoma Screening & Treatment (CPT 92133, 92134, 92250, 92285)
✅Diabetic Retinopathy Exams (CPT 92250, 92134, ICD-10 E10.9, E11.9)
✅Optical Coherence Tomography (OCT) (CPT 92133, 92134)
✅Visual Field Testing (CPT 92081, 92082, 92083)
✅Dry Eye & Meibomian Gland Dysfunction Treatment (CPT 68761, 76514)
✅Low Vision & Vision Therapy Services (CPT 92065, 97110, 97112)
Required Knowledge for Successful Optometry Billing
1. Differentiating Between Vision & Medical Insurance Billing
Understanding when to bill vision insurance (VSP, EyeMed) vs. medical insurance (Medicare, BCBS, UHC) is crucial to prevent claim denials and maximize reimbursement.
2. CPT, ICD-10, & Modifier Usage for Optometry Services
Proper coding of eye exams, disease management, and procedural treatments ensures accurate claim submission and prevents downcoding by payers.
3. Prior Authorization for Specialty Eye Procedures
Many advanced imaging, surgical procedures, and specialty lenses require pre-authorization, making verification an essential part of the billing workflow.
4. Medicare & Medicaid Rules for Optometric Care
Medicare covers medical eye exams and treatments, while Medicaid varies by state. Understanding these coverage policies helps prevent claim rejections and compliance issues.
5. Optical Retail & Sales Tax Compliance
Practices that sell eyewear, contacts, and optical accessories must handle sales tax compliance, itemized billing, and insurance coordination for cash-pay vs. insurance reimbursements.
Why Choose Solubillix for Optometry Practice Management?
✔Seamless Credentialing & Insurance Enrollment to prevent billing issues.
✔Specialized Billing & Coding Support for Vision & Medical Claims.
✔Comprehensive EHR & Practice Management Integration for efficiency.
✔End-to-End Revenue Cycle Management to Maximize Reimbursements.
✔Vision & Medical Compliance Solutions to Ensure Audit Readiness.
✔Tailored Solutions for Individual & Multi-Location Optometry Practices.
Get Started with Solubillix Today!
Let us handle the complexities of billing, credentialing, compliance, and revenue cycle management, so you can focus on providing exceptional eye care. Contact us today to see how we can support your optometry practice!
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____Our Services____
Solubillix offers comprehensive medical billing, credentialing, and revenue cycle management solutions to ensure seamless practice operations, faster reimbursements, and financial growth for healthcare providers.
Why Choose Solubillix?
Solubillix
- 7-day free trial or demo available
- Tailored to meet your practice’s unique needs
- 99% accuracy in billing and coding
- No Setup Fee
- Pay only when work is done, billed monthly on contracts
- Best price range with flexibility
- Active support across all time zones
- Over various different EHR/EMR and clearinghouse systems
- Detailed production and revenue reports with a focus on HIPAA compliance
- Regular, proactive feedback and updates
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Typical Competitor
- Usually no trial/demo offered
- Often offers one-size-fits-all solutions
- Varies, typically lower accuracy or false promise of 100%
- Often charges setup or onboarding fees
- May require upfront or ongoing payments
- May have higher, less flexible pricing
- Limited support hours, often region-based
- Experience varies, often less specialized in different EHR/EMR
- Reporting may be basic or inconsistent
- Feedback is often reactive, infrequent
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We’re here to streamline your medical billing and coding, optimize revenue, and prioritize exceptional patient care.
Solubillix specializes in accurate medical billing, coding, and reimbursement management for specialty providers, ensuring that every claim is submitted correctly to reduce denials and maximize payments. Our team understands procedure-specific codes, payer policies, and authorization requirements for specialties like psychiatry, neuromodulation, pain management, behavioral health, optometry, and more.
Yes! We handle end-to-end credentialing and payer enrollments for Medicare, Medicaid, and commercial insurers, ensuring your practice is in-network and eligible for maximum reimbursements. Whether it’s TMS, Ketamine therapy, Spravato, therapy services, or any other specialty treatment, we make the enrollment process smooth and hassle-free.
Absolutely! Many specialty services, such as TMS, Spravato, Ketamine, and behavioral health therapy, require strict prior authorization and medical necessity documentation. Our team proactively manages these requirements to prevent claim denials and payment delays, ensuring your patients get the care they need while you get paid on time.
Unlike general medical billing companies, Solubillix focuses on specialty providers and understands the unique challenges of mental health, neuromodulation, pain management, and therapy-based treatments. We provide personalized RCM solutions, payer contract negotiations, compliance support, and data-driven financial strategies to help your practice grow without the burden of administrative complexities.
Getting started is easy! Simply contact our team, and we’ll provide a free practice assessment to identify billing inefficiencies, credentialing gaps, and revenue optimization opportunities. From there, we handle the entire transition process so you can focus on patient care while we take care of your revenue cycle management.