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Optometry Practice Management · 2026

Every open case.
One command center.

The fog your practice has been operating in? That ends when you type in your numbers below.

Revenue Recovery Calculator

See your numbers.
Before you scroll once.

3
18
60
10120
140
20500
43.2h
Hours saved / week
$11,137
Revenue recaptured / mo
17
Claims at risk
10
Denials eliminated

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optic.app / command-center
Live
Command Center — Sat, May 30
3 lanes · 60 pts/day
Open Cases
140
Unbilled
14
exams
Prior Auth
21
pending
Recovery
$11.1k
/month
Flagged Cases — Needs Action5 open
Marcus T.$340
Prior auth expired — OCT imaging
18d
Diane W.$185
Missing modifier — 92015
6d
Raj P.$520
Dual insurance — uncoordinated
12d
Carla M.$210
Frequency exceeded — VSP
3d
James O.$890
No auth — specialty lens
9d
Clean claim rate 72% → target 95%
Industry Benchmarks — 2026
85%
Average clean claim rate
Industry target is 95%. That gap is your revenue.
12–15%
Denial rate without automation
Best-in-class practices maintain under 3%.
50–60
Days average AR in optometry
Target is 30–40. Every extra day is float you don't have.
22%
Preventable denials from eligibility failures
Verified before the patient leaves the chair.
01 — Daily Triage

Sixty patients.
Three lanes.
Zero margin for a missed auth.

The average optometry practice loses $7,500 per month to preventable claim denials. The most common cause isn't coding errors — it's authorization gaps discovered after the patient has already left.

Auth status verified before the patient reaches the chair
Frequency-exceeded warnings surfaced in real time
Dual insurance coordination flagged automatically
Today's Schedule
Morning Triage
3 lanes active
Time
Patient
Type
Auth
Amt
08:14Elena R.ComprehensiveAPPROVED$185
08:31Thomas B.Medical ExamPENDING$340
08:47Priya N.Contact Lens FitDENIED$210
09:03Marcus D.OCT ImagingFLAGGED$520
09:22Sarah K.Glaucoma EvalAPPROVED$290
3 approved
1 pending
1 denied
$1,545
Prior Auth Queue
Week of Feb 24 – 28
2 escalated
Submitted
47
Approved
31
Pending
11
Denied
5
PA-8821
Dominic F.Escalated
Corneal Topography · Cigna
8d
PA-8834
Yuki T.In Review
Low Vision Eval · Medicare
6d
PA-8847
Amara O.Pending
Specialty Contact · Aetna
5d
PA-8852
Caleb R.Approved
Vision Therapy · BCBS
3d
PA-8861
Nadia P.Pending
OCT-Angiography · UHC
2d
02 — Weekly Reporting

Thursday.
The prior-auth
black hole opens.

Prior authorization denial rates hit 8–15% without automated verification. That queue sitting in someone's inbox isn't a task — it's a revenue leak measured in thousands per week.

Automated follow-up at day 3, 7, and 14
Escalation alerts before the deadline, not after
One-tap appeal with pre-filled denial reason
Real Practice Result
$7,500 /month
Recovered after reducing denial rate from 11% → 6% — plus $3,200/month in previously unbilled medical services identified.
03 — Quarterly Analytics

Which clinic
is bleeding
unbilled exams?

Multi-location practice owners can't afford to wait for month-end reports. Westside is sitting at 79% clean claim rate and 58-day AR. That's not a billing problem — that's a survival problem.

Downtown
+12%$84k
Unbilled
3exams
AR Days
34days
Clean Rate
93%
Westside
-4%$62k
Unbilled
11exams
AR Days
58days
Clean Rate
79%
North Clinic
+6%$72k
Unbilled
7exams
AR Days
44days
Clean Rate
87%
Analytics — Q1 2026
Clean Claim Rate Trajectory
Target
95%
Oct
68%
Nov
74%
Dec
71%
Jan
83%
Feb
91%
Mar
95%
95% target
Recaptured This Quarter
$34.2k
AR Days Avg
36 ↓18
Case Study Reference
Virginia Eye Institute increased appointment revenue by $1.6M after implementing a structured practice management system.
System Ready

You've seen your numbers.
Now run the audit.

The average practice recovers $11,400 in the first 30 days. Not from new patients — from exams you already performed.

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