Optometry Specialty Billing

Correct Claim Routing. Medical vs. Vision Clarity. Faster Reimbursement.

Optometry billing splits between medical and vision insurance, with specialty eye procedures and frame/lens billing adding further complexity. DI RevNexus routes every claim to the right payer and codes each service correctly so optometry claims move without delay.

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HIPAA-Aligned Workflows
Optometry-Trained Coders
Optometry billing specialist reviewing eye exam claims and medical vs. vision insurance routing
Optometry Claims Routed, coded, and tracked to payment
Claim Routing
Procedure Coding
Faster Reimbursement
01 Optometry RCM Services

Every Stage of Optometry Billing. Handled With Precision.

From the eye exam to the final payment, our team manages the routing, coding, and follow-up that optometry claims depend on.

Medical vs. Vision Claim Routing

Claims routed correctly between medical and vision insurance based on the service provided.

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Eligibility Verification

Both medical and vision plan benefits confirmed before the exam takes place.

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Prior Authorization

Fast, accurate authorization requests for specialty eye procedures and treatments.

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Claims Processing

Clean, scrubbed claims submitted electronically and tracked from submission to resolution.

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Payment Posting

Timely, accurate posting and reconciliation of payments across every optometry account.

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AR Follow-up

Structured, scheduled follow-up on aging balances split across medical and vision payers.

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Denial Management

Proactive appeals for misrouted and coding-related denials, worked until resolved.

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Credentialing

Provider enrollment and payer credentialing managed for optometrists and eye care practices.

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1 Exam → 2 Insurance Routing → 3 Claim → 4 Revenue
Why Choose Us

Why Optometry Practices Choose DI RevNexus

A billing partner that understands medical-vs-vision claim splitting — not a generic back office.

Optometry-Trained Coders

Coders fluent in both medical eye-care CPT codes and vision plan billing rules.

Accurate Claim Routing

Each visit is billed to the correct payer the first time, reducing routing-related denials.

Frame & Lens Billing Coordination

Materials billing coordinated cleanly alongside exam and procedure claims.

Transparent Reporting

Clear visibility into optometry claims, collections, and AR — whenever you want to look.

Denial & Appeal Management

Denials tied to routing or coding are appealed promptly, not left to age in a queue.

Scalable Support

Billing support designed to scale as your practice and patient visit volume grow.

HIPAA-Conscious Processes

Patient and billing data handled with care, consistent with HIPAA principles throughout.

Client-Focused Communication

A dedicated point of contact who knows your account and answers directly.

Coverage

Optometry Services We Bill and Code

From routine eye exams to specialty eye disease management, our team codes and bills across the full optometry service line.

Routine Eye Exams

Medical Eye Disease Management

Glaucoma & Diabetic Eye Screenings

Contact Lens Fittings

Frame & Lens Dispensing

Dry Eye Treatment

Urgent Eye Care

Teleoptometry Visits

How It Works

The Optometry Workflow, Start to Finish

A disciplined, repeatable process built around correct medical-vs-vision claim routing.

1

Eye Exam

Exam findings and clinical documentation are captured at the point of care.

2

Insurance Routing

The visit is classified and routed to the correct medical or vision payer.

3

Procedure Coding

Certified coders apply accurate CPT and ICD-10 codes for exams and eye-care services.

4

Claim Submission

Scrubbed, clean claims are submitted electronically and tracked from day one.

5

Payment Posting

Payments and adjustments are posted and reconciled promptly against every claim.

6

AR Follow-up

Aging balances across medical and vision payers are tracked on a scheduled basis.

7

Denial Resolution

Routing and coding denials are reviewed, corrected, and appealed on a tracked timeline.

8

Revenue Recovery

Recovered payments flow back into reporting, closing the loop on every optometry claim.

Turn Optometry Billing Into a Stronger Revenue Cycle.

Let our team review your current optometry billing process and show you exactly where cleaner claim routing can recover revenue.

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