in year one
From 71% to 97%
in one billing cycle.
A three-provider practice in suburban Ohio was running a 71% first-pass rate — losing $14,200 per month to preventable denials on routine exams, contact lens fittings, and medical eyecare visits.
Within 30 days of onboarding, our CPT audit flagged 23 habitual undercoding patterns across their three most-billed payers. We corrected the fee schedule, rebuilt the modifier logic, and resubmitted 6 months of stacked denials.
Month two reimbursement rate: 96.8%. The practice recovered $142,400 in year one — without adding a single new patient.
A clean claim moves
at the speed of clean code.
Missing modifiers, stale fee schedules, and payer-specific rules that change quarterly. We track all 47 major vision and medical payers so your staff doesn't have to.
We know exactly
why claims get denied.
Aggregated from 2,400+ monthly CPT audits across optometry practices. Updated quarterly with payer-specific rule changes.
Top Denial Reason Codes — Optometry
Q4 2025CO-4 and CO-97 account for 47% of all optometry denials. Both are preventable with correct modifier application at time of coding — not after denial.
Payer-Specific Acceptance Rates
Clarity-billed claims · Last 90 days
Monthly CPT Audit Results
Built for Every Optometry Practice Model
Solo and two-provider practices billing medical and vision — we handle both payer tracks without confusion.
3–8 providers with complex scheduling, multiple NPI numbers, and payer credentialing that never seems to end.
Stop toggling between three systems before lunch. One integration, one dashboard, one source of billing truth.
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Revenue Report
Enter three numbers. We'll show you exactly how much your practice is leaving on the table — and what it looks like recovered.
No commitment. Results delivered in under 2 minutes.
Download the 2024
Billing Benchmark
Where does your practice stand against 600+ optometry practices nationwide? One email, instant access.
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