Billing companies that work optometry claims every day and take on practices in San Francisco, CA. Describe your practice once and compare their proposals.
A few questions about the practice, then billing companies that fit send proposals. You are not committing to anything.
Hand off all of it or just the parts that are breaking. Say which in the form so the proposals match.
Charges entered, claims checked against payer edits, and sent daily so clean claims go out the first time.
Every denial worked, appealed, or corrected, with the root cause tracked so the same denial stops repeating.
Old balances called on and worked by payer and by age until they are paid, adjusted, or written off on purpose.
Certified coders assign CPT, ICD-10, and modifiers from your notes, or audit the codes your providers pick.
New providers enrolled with payers, CAQH kept current, and revalidations handled before they lapse.
Statements, online payment, payment plans, and the phone calls that come with them, handled in your name.
Eligibility checks, prior authorizations, and old AR cleanup go through the same request. If you only need one piece, say so.
There is no right answer for every practice. The usual tradeoffs:
A vision plan covers an exam. A medical plan covers a disease. In a San Francisco optometry practice, billing means deciding at the front desk which one the visit belongs to, and patients are not helpful because they believe their eyes are covered by whatever card they hand over. A routine exam that uncovers early glaucoma changes the claim. Many practices in the city also sit inside or beside retail optical shops, which blurs the line again.
Medical eye care is where the money is. Dry eye, diabetic retinopathy screening and glaucoma follow-up are billed to the health plan with diagnosis-specific rules, and delegated medical groups sometimes require referrals for them. Frame and lens sales add a separate revenue stream that has to be reconciled monthly against plan payments. Offices that train the front desk to sort the visit at scheduling, rather than at checkout, see denials drop. Billers can help set that up, but they cannot do it for you.
Looking for optometry billing in other cities? See the optometry billing site.
Three steps. Most practices hear from the first billing company within a business day.
Specialty, providers, claim volume, your software, and what you want handled.
Your request goes to billing companies that work your specialty and take on practices your size in San Francisco, CA.
Compare fees, scope, reporting, and contract terms side by side. Pick one, or none.
What practice managers usually ask before they fill out the form.
Describe the practice once and compare proposals from billing companies that fit. No obligation.
Request proposals