Optometry medical billing and coding services
Routine versus medical eye care and vision plan coordination. Medxcode codes, bills and appeals optometry claims with specialty-trained staff — 99% first-pass acceptance and an average of 42 days in A/R.
-43%
Wrong-payer routing
99%
First-pass acceptance
50
States covered
Where optometry revenue actually leaks
Optometry claims fail for reasons that have nothing to do with clinical quality. The denials cluster around a handful of documentation, coding and authorization patterns — and once you know which ones, they stop being inevitable. These are the three we correct first in almost every optometry engagement.
- 01
Vision plan versus medical plan routing
- 02
Contact lens fitting and material billing
- 03
Refraction non-covered handling
Codes our optometry coders live in
Your account is staffed by coders who work optometry every day, not generalists rotating through specialties. That means the code families below are familiar territory, along with the payer-specific edits that surround them.
92002–92014, 92310, 92015, 92083
How we run a optometry account
Packages
Optometry billing packages
Same packages, staffed with optometry coders. Managed service fees start at 3.99% of monthly collections, month-to-month with no setup fee.
Starter
3.99%
of monthly collections
Solo providers under 500 claims per month
- Eligibility verification and charge entry
- Claim scrubbing and electronic submission
- Payment posting and patient statements
- Rejection correction and refiling
- Monthly performance report
- Month-to-month. No setup fee. No long-term lock-in.
Growth
3.99%
of monthly collections
Practices billing 500–2,000 claims per month
- Everything in Starter
- Dedicated billing team and named lead
- Full denial management and appeals
- Aged A/R recovery included
- Coding review by certified coders
- Weekly KPI dashboard and monthly review call
Enterprise
Custom scope
proposal based on volume and scope
Multi-site groups above 2,000 claims per month
- Everything in Growth
- Multi-location and multi-TIN billing
- Credentialing and compliance audits bundled
- EHR / clearinghouse integration support
- Custom analytics and payer scorecards
- Quarterly executive business review
Calculator
Estimate recoverable optometry revenue
Medical billing revenue calculator
Estimate the collections you would recover by moving to a 99% first-pass, 24-hour submission billing workflow.
Total claims submitted each month across all providers.
Average allowed amount per claim.
Share of claims denied or rejected on first submission.
Projected additional annual collections
$182,892
Estimated annual revenue recovered by moving to a 99% clean-claim workflow
- Monthly billed charges
- $432,000
- Revenue lost to denials today
- $21,168 / month
- Projected monthly recovery
- $15,241
Estimates use benchmark recovery rates from comparable US practices. Your written analysis replaces these estimates with numbers from your own payer mix.
Services
Specialties