We offer end-to-end revenue cycle management for ophthalmology practices, including:

• Insurance verification and prior authorizations

• Coding and claim submission

• Denial management and appeals

• Payment posting and A/R follow-up

• Patient billing and customer service support

We specialize in both medical and vision plan billing.

Yes! We’re experienced in handling claims for medical payers (Medicare, Medicaid, commercial plans) and vision plans such as VSP, EyeMed, Envolve, Premier, and more. We understand the differences in coverage, coding, and documentation needed for each.

We handle billing for a full range of eye care services, including:

• Comprehensive eye exams and medical office visits

• Cataract surgeries, including premium IOLs and toric lenses

• Laser procedures such as YAG capsulotomy and SLT

• Glaucoma treatments, including iStent, goniotomy, trabeculectomy, and MIGS

• Dry eye therapies, including punctal plugs and tear duct procedures

• Intravitreal injections (e.g., Avastin, Eylea, Vabysmo)

• Imaging services: OCT, fundus photography, fluorescein angiography, and visual field testing

• Minor lid procedures: chalazion excision, lesion removal, entropion/ectropion repair

• Retina procedures: laser photocoagulation, complex RD, vitrectomy

• Other diagnostic tests: corneal topography, pachymetry, A/B-scan ultrasounds

If your practice performs a procedure, we’ve likely billed for it — and if not, we’ll get up to speed quickly.

We support all types of ophthalmology practices, including solo practitioners, multi-provider group practices, ambulatory surgery centers (ASCs), hospital-affiliated providers, and multi-location clinics. Whether you're focused on a subspecialty like retina, glaucoma, or oculoplastics — or offer comprehensive eye care — we customize our billing services to fit your workflow, size, and clinical focus.

Yes, we assist with prior authorizations for office-based procedures, diagnostics (like OCT or visual fields), and surgeries. We can handle the process end-to-end or collaborate with your staff.

Our onboarding is simple and tailored to your needs. It typically includes:

• A workflow review (in-person or remote)

• Secure access to your PM/EHR and payer portals

• A/R and outstanding claims assessment

• Coordination with your current biller (if applicable)

• Immediate start on claims to avoid cash flow delays

We adapt to your workflow — whether that’s weekly reports, updates in your PM system, or regular check-ins. We can also join your in-office platforms like Teams, Zoom, or Slack for seamless, real-time collaboration. Our goal is to make communication easy and transparent.

Absolutely. We handle patient billing inquiries directly and log all communication in your system. Our approach is respectful and professional, helping maintain your reputation while resolving concerns quickly.

No — we do not outsource any part of our billing process overseas. All work is performed by our U.S.-based team to ensure clear communication, strict quality control, and full accountability to ensure the highest quality service for your practice. We’re also fully committed to HIPAA compliance and data security best practices, so your patient information stays protected and confidential at every step.

Not at all. We work within your existing systems and workflows, minimizing disruption and training time.

Yes — you maintain full control and ownership of your billing and financial data at all times. We work directly within your PM/EHR systems, so you can monitor claim status, payments, A/R follow-up, and surgical or injection volumes whenever you need. Our goal is to be a transparent, accountable partner that supports your ophthalmology practice — not an outside vendor operating in a black box.

Our standard hours are Monday through Friday, but we understand that ophthalmology practices — especially retina specialists — may operate evenings, weekends, or emergency clinics. We offer flexible support options, including after-hours claim processing, weekend batching, and availability for urgent billing needs. Let us know your schedule, and we’ll build a support model that fits your workflow.

Switching billing vendors doesn’t have to disrupt your revenue. We handle the entire transition process — including requesting access to your PM/EHR, pulling A/R and claim history, and coordinating with your current billing company if needed. We pay close attention to open surgical claims, injection cycles, and vision vs. medical balances, ensuring a smooth handoff and no interruptions in cash flow.

Yes — we specialize in helping ophthalmology practices recover from billing breakdowns. Whether you’re facing denials for injections, underpaid surgical claims, missed modifier usage, or aging A/R, we’ll conduct a detailed audit to identify the root causes. From there, we implement corrective actions, recover lost revenue wherever possible, and establish clean workflows to prevent repeat issues. Many retina and subspecialty practices have come to us after billing setbacks — and come out stronger.

OcuBilling is laser-focused on ophthalmology billing — it's all we do. Unlike generalist billing firms, we understand the nuances of retina injections, global periods, vision vs. medical plans, surgical modifiers, and payer-specific rules for diagnostic testing like OCTs and visual fields.

You’ll work with a U.S.-based team that knows your subspecialty, communicates regularly, and tailors every workflow to your practice. We don’t outsource overseas, and we don’t take a one-size-fits-all approach. With transparent reporting and aggressive A/R follow-up, we take full ownership of your revenue — so you can focus on delivering outstanding eye care.