Optometry Billing Services for Boston Eye Care Practices
Accelerate your revenue cycle with professional optometry billing services built for Boston-based eye care providers. Whether you run a private clinic near Longwood Medical Area or a multi-location group across Suffolk County, our local billing experts manage everything from eligibility checks to payment posting—so your team can stay focused on patients.
Our services are tailored for practices across Boston and nearby cities including Cambridge, Somerville, Brookline, and Quincy. With deep understanding of Massachusetts Medicaid (MassHealth), Medicare, and regional payers like Tufts Health Plan and Harvard Pilgrim, we ensure billing precision and faster reimbursements.
Why Boston Optometrists Choose Our Billing Services
Billing for vision and medical services in Boston can get complicated. From payer-specific guidelines to EHR integration challenges, our team delivers reliable support that reduces administrative overhead and increases cash flow. We help Boston providers manage compliance, avoid denials, and stay ahead of evolving insurance policies.
Our Boston Optometry Billing Solutions Include:
Insurance Verification & Eligibility Checks
Reduce rejections by confirming vision and medical benefits before each visit.
Accurate CPT/ICD Coding & Charge Entry
Proper coding of exams, fittings, imaging, and chronic conditions ensures maximum reimbursement and compliance.
Claims Submission & Payment Posting
Clean claim submissions and reconciled payments from Medicare, MassHealth, and commercial insurers.
Denial Management & Appeals
Reduce revenue loss with payer-specific appeal strategies for denied or underpaid claims.
Compliance Documentation Support
Align your records with HIPAA and CMS requirements to stay audit-ready.
We integrate seamlessly with practice management systems like Eyefinity, RevolutionEHR, Compulink, and Crystal PM.
Serving Optometry Practices Across Greater Boston
We proudly support optometry practices across the Greater Boston area, including Back Bay, South End, Jamaica Plain, Cambridge, Somerville, and Brookline.
What Makes Our Optometry Billing Services Stand Out
Local Payer Expertise
We navigate local payer rules including Tufts, MassHealth, and Harvard Pilgrim.
Specialization in Optometry Billing
From 92014 to H40.9 codes, our team knows how to bill for every encounter.
Vision vs. Medical Billing Support
Avoid coverage confusion and reduce denials with our expert eligibility determination.
Cost-Effective Revenue Cycle Management
Eliminate billing staff overhead and boost cash flow with our streamlined workflows.
Transparent, HIPAA-Compliant Service
Our experienced billing team ensures privacy and performance.
Specialized Optometry Billing for Boston Practices
Exam Coding Accuracy
We handle comprehensive and intermediate eye exam codes (92002–92014) to ensure full reimbursement for both vision and medical visits.
Contact Lens Billing
Maximize payment for commonly undercoded CPTs like 92071 and 92072 used in fittings and evaluations.
Ocular Imaging & Testing
Bill correctly for OCT, fundus photography, and visual field tests in compliance with Massachusetts payer guidelines.
Chronic Eye Condition Coding
We ensure accurate ICD-10 billing for glaucoma (H40), cataracts (H25), and AMD—critical for Boston’s aging patient population.
Medical vs. Vision Determination
We reduce denials by confirming the correct billing route — vision plan vs. medical insurance — before submission.
Help center
Got a question?
Get your answer
Quick answers to questions you may have. Can't find what you're looking for? Get in touch with us.
We support optometry practices across the Greater Jacksonville area, including Riverside, San Marco, Southside, Orange Park, and St. Augustine.