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Optometry Claims: Why You Should Use Vision Billing Software

File Folder Labeled as Claims.At Apex EDI, our goal is to help you create a better workflow within your clinic and simplify the billing process, so you can focus on patient care. The  has always been a source of frustration for office staff. Billing and coding errors can also be devastating to your practice.

An integrated software system means that vision claims can be transmitted directly from your system. This eliminates a tedious responsibility of entering patient data into more than one system or faxing information to other companies. Ultimately it saves staff a significant amount of time and energy. It also saves paper and money.

Any time information is re-entered, copied, scanned, or faxed it increases the potential for human error. Misspelled patient names, unreadable information, or incorrect billing codes can result in denied claims. A software, like Apex EDI, eliminates this risk. When insurance companies receive error free claims, this means you are reimbursed faster every time for every patient. It allows the front office staff to focus their attention on greeting patients with care.


Our integrated system also allows you to easily attach patient documentation such as progress notes. There’s no need to search for and organize this information when submitting vision claims. It’s literally at your fingertips. It also gives you the ability to easily view reports to help manage your practice.

You’ll be able to access financial data such as revenue per visit, patient cancellations, and accounts receivable. This powerful information allows your team to reach higher levels of productivity.

Contact Apex EDI to learn more and request a free demonstration of our software today.

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Optometry Claims: A Typical Visit to an Optometrist – What Your Claim Will Pay For

Even if you don’t need eyeglasses, it’s about time for a routine visit to an Optometrist. Our eyes play a very important role in our daily lives and a checkup can help prevent vision problems before they occur. If you’ve never had a vision exam, here’s what you can expect.


First, your doctor will ask you to read letters of various sizes from a chart to test your close and long distance sight. You will also be tested for glaucoma with a device called a tonometer that blows a puff of air into your eye. Depending on your age and health, you may also be tested for your side or peripheral vision, 3D, and color vision.

Medicated eye drops may be used to make your pupils larger. This procedure allows the optometrist to get a clear view of the inside of your eyes to detect cataracts, muscle degeneration, and diseases that can impair your sight. It may be helpful to bring a pair of sunglasses along because your eyes may be sensitive to light for a few hours afterwards. Some practices provide these for you, but it is smart to bring your own just in case!

If you do wear eyeglasses or contacts, bring them along for the visit. It’s essential to check your vision regularly because it’s quite normal for our sight to change as we age. You will also want to bring information about your medical history and any prescriptions.

 an eye

Most medical insurance policies don’t cover routine eye exams, unless there is a diagnosis. Vision plans cover routine eye wellness exams. At Apex EDI, we’ll make it easy for you to pay for your exam. We’re aware of the specific billing differences between medical and vision claims. It’s important to have a plan of action that will meet your specific needs, utilize all of your benefits and protect the health of your eyes.   

Contact us today to find out more about Apex EDI and how we can help you and your practice.

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