Optometry practices bill two very different kinds of coverage. Routine eye exams and materials are often billed to vision plans, while medical eye care is billed to the patient’s medical insurance. Choosing the wrong one, or coding a visit incorrectly, is one of the most common reasons eye care claims are denied or underpaid.
Elevate provides complete optometry billing that sorts each visit to the right plan, codes it correctly, and follows every claim through to payment.
This orthopedic practice was losing thousands monthly due to preventable denials and poor documentation. After restructuring their billing workflow and improving coding accuracy, we slashed their denial rate by 60% and restored consistent reimbursements.
Yes. Elevate bills both, and part of the work is making sure each visit goes to the right plan with the right codes.
Common reasons include billing a routine exam to medical insurance or the reverse, missing diagnosis codes for medical visits, and eligibility issues with vision plans.