Eye Care Billing Services – 5 Proven Ways to Boost Revenue

Q: How do I get credentialed with vision insurance plans like VSP and EyeMed?

We manage the entire process—applications, CAQH setup, and regular payer follow-ups—so you can get in-network faster.

Q: Can I bill both vision and medical insurances for the same patient?

Yes. We help you distinguish routine vision exams from medical diagnoses (e.g., cataracts, glaucoma) and bill correctly with the proper CPT codes and modifiers.

Q: What if I already submitted claims and they were denied?

We investigate denial reasons, correct errors, and resubmit or appeal with complete documentation to recover your revenue.

Q: Do you handle Medicare enrollment for eye care services?

Absolutely. We assist with PECOS registration, CMS-855I submission, and compliant billing for covered eye-related services.

Q: How can I improve revenue from routine vision care?

We optimize coding, verify eligibility before each visit, and reduce claim rejections—often boosting collections by up to 30%.

Q: Do you handle prior authorizations for eye care procedures?

Yes. We manage prior authorizations for surgeries, specialty lenses, diagnostics, and other services to prevent delays and ensure timely approvals.

Q: Can you help with out-of-network billing for eye care services?

Yes. We prepare and submit out-of-network claims, track reimbursements, and advise on when joining a payer network may be more profitable.

Q: Do you work with both independent optometrists and multi-location eye care practices?

Yes. Whether you’re a solo provider or a multi-location group, our Eye Care Billing Services and credentialing solutions are tailored to your needs.

Eye Care Billing Services for Optometrists & Ophthalmologists

Eye Care Billing Services that help optometry and ophthalmology practices get paid faster, reduce denials, and stay in-network. From credentialing to clean claims and AR, Fortify RCM handles the billing while you focus on patient care.

Who We Help

We support solo optometrists, group ophthalmology practices, and multi-location vision centers with end-to-end eye care billing services, credentialing, and AR follow-up.

Optometrists

We support billing and credentialing for routine vision and medical eye care services.

Ophthalmologists

Specialized support for surgical billing, eye exams, and complex procedure codes.

Pediatric Eye Care Providers

Medicaid billing and vision benefit coordination tailored for children’s practices.

Multi-location Vision Centers

Scalable RCM and payer management for growing vision groups or chains.

Services We Offer

Credentialing

Commercial, Medicare, Medicaid — from CAQH to contracting to revalidation.

Revenue Cycle Management

Complete back-office support from eligibility to AR follow-up.

Denial Management

We fix broken claims — fast resubmissions & appeal handling.

EDI/ERA/EFT Setup

Payer connections made easy — fast & paperless.

Eligibility & Benefits Verification

Avoid denials by checking before you submit.

Claims Submission & Payment Posting

Clean claims + accurate payments = healthy revenue

Why Fortify RCM Is the Go-To for Eye Care Billing Services

We specialize in providing Eye Care Billing Services for Optometrists, Ophthalmologists, and Vision Clinics, offering tailored billing, credentialing, and payer compliance solutions — helping you grow revenue while focusing on patient care. Learn more on CMS site.

☑ Credentialing with vision plans (VSP, EyeMed, Davis, etc.)

☑ Medical billing support (e.g., cataract, glaucoma procedures)

☑ Claim scrubbing to prevent denials

☑ AR follow-up and denial appeals

☑ Medicare/Medicaid enrollment

☑ Dedicated account manager

Results from Our Work

100%

Claim Acceptance Rate

100%

Timely Filing Compliance

6–8 Weeks

Credentialing Turnaround Time

30%

Avg. Monthly Revenue Growth

Frequently Asked Questions

How do I get credentialed with vision insurance plans like VSP and EyeMed?

We manage the entire process — including application submission, CAQH setup, and regular follow-ups — to help you get in-network faster.

Can I bill both vision and medical insurances for the same patient?

Yes. We help you distinguish and bill correctly for routine vision exams vs. medical diagnoses (e.g., cataracts, glaucoma), using appropriate modifiers and CPT codes.

What if I already submitted claims and they were denied?

We review denial reasons, correct the errors, and resubmit or appeal to recover your revenue.

Do you handle Medicare enrollment for eye care services?

Absolutely. We assist with PECOS registration, CMS 855I submission, and billing of covered eye-related services.

How can I improve revenue from routine vision care?

We optimize billing codes, check eligibility before each visit, and reduce claim rejections — boosting your collections by up to 30%.

Do you handle prior authorizations for eye care procedures?

Yes. Our team manages prior authorizations for surgeries, specialty lenses, and other vision-related services — reducing delays and ensuring timely approvals.

Can you help with out-of-network billing for eye care services?

Absolutely. We assist in preparing and submitting out-of-network claims, tracking reimbursements, and advising on when joining a payer network may be more profitable.

Do you work with both independent optometrists and multi-location eye care practices?

Yes. Whether you’re a solo provider or a multi-location vision care group, our Eye Care Billing Services and credentialing solutions are tailored to your specific needs.

Ready to Grow Your Vision Practice?

Whether you’re just starting out or scaling your optical or ophthalmology clinic, Fortify RCM simplifies your billing, credentialing, and payer coordination — so you can stay focused on your patients.