Routine Vision Billing Assistance
We correctly submit ALL your vision plan claims, including eyeglasses and contacts, to VSP, EyeMed, Versant, Spectera, and any other payer.
Assistance includes exams, glasses, contact lenses and contact lens box ordering through distributors (ABB, WVA, etc).
SEE HOW IT LOOKS
Who’s submitting the claims? Opticians, duh!
Submitting exams, contacts and glasses isn’t rocket science as you know. It’s a lot of data entry screen time. Your office is assigned a dedicated optical biller who will submit your claims and learn your office nuances. Your optician biller will communicate with your office via HIPAA secure chat if they have questions about any orders that need to be further explained in more detail.
Goal we achieved
Get the top income generators (opticians) back on the sales floor and not doing manual data entry work. If you track how much time it takes an optician to submit an optical order through, you’ll likely find it 4-7 minutes.
$23 per hour optician spending 6 minutes = $2.30 per claim. While you may pay more per claim submission than doing in office, simply having opticians available to help patients is more important and will reduce staffing burden. More sales is better than saving $$$ on claim submissions.
Practice claim submission dashboard
Real-time updates. Instant communication with virtual optical billers
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Organized view of patients by date Your practice dashboard houses all of your patient vision plan data in 1 secure HIPAA compliant space
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Real-time status of claims submitted Stay in the loop on what glasses, contacts, and exam claims are complete, pending, or need practice attention.
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Easily view patient benefits One aggregated source to view patient vision benefits for all payers.
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Chat with your optical biller Need to tell your optical biller something? Quickly make a comment on their claim to make them aware of something. It could be a change in Transitions color or seg height.
Organized view of patients by date
Real-time status of claims submitted
Easily view patient benefits
Chat with your optical biller
Pricing | Pay-Per-Usage Model
*per claim unit pricing based on bulk purchasing of claim submissions
| Claim type | 200 units | 400 units | 600 units | 1000 units | Enterprise / retail chain |
|---|---|---|---|---|---|
| Exam | $1.75 | $1.60 | $1.45 | $1.30 | |
| Contact Lens Fitting |
$1.75 | $1.60 | $1.45 | $1.30 |  |
| Contact Lens Materials |
$1.75 | $1.60 | $1.45 | $1.30 | |
| Contact Lens Patient Box Order |
$1.75 | $1.60 | $1.45 | $1.30 | |
| Rx Glasses | $2.75 | $2.60 | $2.45 | $2.30 | |
| Medically necessary contacts (TBD) |
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Need help figuring out how many units to purchase?
The easiest way is to run a quarterly report in your practice management system by billing code to determine your expected volume.
I’m ready to sign up!
What’s the onboarding process?
What’s my savings outsourcing?
It’s your opportunity cost! Not your labor savings.
It’s more important to keep opticians available on the sales floor and generate more sales than save a few hundred dollars by keeping vision plan billing in house. 1 additional sale per month can compensate for the extra cost for outsourcing billing.
VIEW FINANCIAL EXAMPLE
Perry Optometric Center
Example of 1-month of billing
| Claim Unit Type | № of units | Price per unit | Final cost |
| Exams | 400 | $1.20 | $480 |
| Contact Lens Fittings | 175 | $1.20 | $210 |
| Contact Lens Materials | 125 | $1.20 | $150 |
| Contact Lens Patient Box Orders | 125 | $1.20 | $150 |
| Glasses | 175 | $2.20 | $385 |
| Total cost | $1375 | ||
*Monthly claim volume based on purchase price of 600 units of each
Let’s break down the numbers
- The hidden labor cost of a vision plan claim submission in office is $3.66 per claim (based on $22/hour wage)
- 400 claims x 7 minutes per online submission = 47 hours of labor
- 47 hours x $22/hour wage = $1034
Common Questions
What about printing packing slips?
Your packing slips to wrap your optical orders will be available daily in your practice dashboard for easy bulk printing.
What about HIPAA compliance?
Your dedicated optical biller undergoes quarterly HIPAA compliance training through our partner CSEye.
What if an order has errors in it such as product unavailability or flopped signs?
Your biller is an optician. If they see abnormalities in the order, they will communicate with your office via secure chat. Many times our billers help increase the quality of orders by predicting a job will turn out ugly such as really thick lenses and wrong material choice.
What if my biller gets sick or goes on vacation?
We have backup billers for these exact situations. Life happens.
What if a claim is submitted wrong. How do you handle this?
If you notice we entered wrong information resulting in incorrect contact lens boxes or spectacle lenses, we will credit your account $10 per error. We take this seriously. The 1 in 1000 error can occur; we are all human.
What if a claim is missing information for successful submission?
Your office will be contacted through your practice dashboard to provide missing info.
Do you work with multi-location or corporate offices?
Yes, we can scale with you. We can develop an enterprise strategy to process orders timely. We’re quite technical too! If you need custom software development or other workflows, we have senior developers on staff.
What vision plan or insurance companies can you bill?
VSP, EyeMed, Versant, Spectera, NVA, Avesis, and any other plan you bring to us. Everything is a process, and we document everything for quality assurance.
We got you thinking, huh?
Vision plans are an evil necessity, we know.
Let’s talk further about streamlining.
