Opticode is a powerful, specialized revenue cycle management app built exclusively for optometry and ophthalmology practices. Designed to function as an intelligent billing companion, the app helps providers and billing teams submit cleaner claims, reduce denials, and increase reimbursement accuracy across both medical and vision insurance. Opticode features advanced claims scrubbing technology that automatically reviews claims prior to submission, flagging coding errors, missing modifiers, documentation gaps, demographic inconsistencies, and payer-specific rule violations. This proactive review process helps practices improve first-pass acceptance rates and dramatically cut down on costly rework.

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A key feature of the app is its built-in bundle checker, which analyzes procedure combinations to ensure services are correctly grouped according to current coding standards and insurance guidelines. This is especially critical in eye care, where multiple diagnostic tests, procedures, and treatments are often performed together and must be coded precisely to prevent denials or underpayments.

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Beyond claim validation, Opticode serves as a revenue performance tool — offering real-time claim tracking, aged claim prioritization, denial pattern insights, and workflow visibility to help teams stay ahead of delays. Built with deep expertise in optometric and ophthalmic billing, the app understands the unique challenges of navigating both vision and medical payers. By transforming billing from a reactive process into a proactive, data-driven strategy, Opticode empowers eye care practices to strengthen cash flow, maintain compliance, and focus more time on delivering exceptional patient care.