Turning Problems into Profits

Insurance Billing for Optometrists

Billing Services for Optometry

Posted by on Jun 4, 2022

OBS was the first billing company in the country dedicated solely to optometry, and we’ve remained the industry leader since our beginnings in 2005. With clinics in over 40 states,...

Read More

Learn More About OBS

About OBS:  Turning Problems into Profits

Posted by on Jun 4, 2022

Optometric Billing Solutions was founded on a mission to help doctors regain financial control over their insurance billing.  Our team of over 100 experienced billing specialists...

Read More

Outsourcing Your Billing

Outsourcing: What You Need to Know

Posted by on Jul 7, 2022

Do you need help with your billing but have concerns about turning it over to an outside company?   You are wise to be cautious!  We get frequent calls from optometrists who have...

Read More

Practice Pointers

Practice Pointers: Helpful hints for successful billing

Posted by on May 7, 2022

Practice Pointers is a series we recently published with great billing tips for busy practices. We’ve included some of the most popular posts here.      ...

Read More

Recent Posts


We all know that HMO plans won’t pay for medical care without a referral, but you’d be surprised how often we get denials from insurance companies because the office saw the patient for medical care and no one got a referral. How can you avoid this? Always check the patient’s card! If it says “HMO” or has a primary care physician (PCP) listed, then the plan requires a referral for medical eye care.  Many of your insurance contracts put the burden for obtaining a referral on the provider, and the EOB shows the denial as a contractual write off. Even if your contract doesn’t stipulate and it’s your office’s policy that patients are responsible for getting all referrals, a courtesy reminder to patients can go a long way in gaining goodwill and saving the patient from a large bill they didn’t expect.


In a busy office, it’s inevitable that data entry mistakes are going to happen. Typos are going to happen. But every time a patient’s information gets entered incorrectly, it means the claim will reject or deny, and someone is going to have to do additional work to find the mistake. How do you keep this from happening? A few simple processes can help eliminate the majority of these errors!

First, at check-in always double check basic demographic information: Is the name spelled correctly? Is the address right? Do you have the correct date of birth? Next, ask for a copy of patients’ insurance cards, even if they say their insurance hasn’t changed, and always check that policy ID numbers are entered correctly into your system with alpha characters included but no spaces or dashes. Does the name match the card; is the spelling right? Is the relationship between the subscriber and patient correct? Always get both the patient’s medical and routine vision insurance information since you don’t know where the claim will be filed. Finally, scan the card into your system for future reference should the need arise.