Reduce Blind Spots in Your Revenue Cycle with Clearinghouse Integrations

Written in partnership with TriZetto Provider Solutions


No one likes a blind spot. Whether you’re changing lanes on the highway or trying to grow your practice, when you can’t see the full view, you’ll miss key information. For many practices, that blind spot is often the lack of an integration between your revenue cycle management system and practice management software.

Keeping Pace with Technology
Many practices can remember a time when large areas of their office were occupied with stacks of paper documents. We've come a long way since then. Eyefinity is proud to be the industry’s leader in practice management and electronic medical records technology—helping practices step into the future with ease. 

With convenient enhancements like the TriZetto integration in Eyefinity Practice Management, practices take can one step further by helping staff save time with fast claim submissions, clean claims, reduced rejection rates, and automated payment posting all without having to leave their Eyefinity Practice Management.    

Managing Your Revenue
Clearinghouses and their integrations to practice management and electronic medical records systems play a crucial role in the healthcare industry, particularly in medical billing for optometry. 

The use of clearinghouses in medical billing for optometry dates back to the 1980s, when the industry began transitioning from a fee-for-service model to managed care. This shift brought about new challenges in billing and reimbursement, including the need for more detailed coding and documentation. As a result, clearinghouses became an essential tool for optometrists looking to streamline their billing processes and improve their revenue cycle management.

Integrations and Solutions to Increase Revenue  
Having a clearinghouse solution that can automate tasks is necessary to keep up with high demand and rising costs. Eyefinity’s clearinghouse partner, TriZetto Provider Solutions (TPS), offers many integrations and solutions to help your practice conquer RCM challenges. Here are a few:

  • Integrated Eligibility – Save time by easily checking patient eligibility in advance with TriZetto’s seamless integration with Eyefinity Practice Management. With this feature, practices can confirm that a patient's insurance coverage is active and up to date before providing services. This helps prevent claim denials and ensures patients receive the appropriate level of care. It also increases the likelihood your practice will be paid in full, quickly, and accurately.
  • Electronic Remittance Advice (ERA) - Explore an easier way to workflow by streamlining the billing process with electronic remittance advice (ERA) that automatically pulls remittance into your Eyefinity Practice Management software, courtesy of our partnership with TriZetto Provider Solutions. Electronic claims submissions mean you get paid faster than ever before—with all insurance providers, not just VSP. Enjoy the added benefits of a reduction in paperwork and fewer patient account receivables. Our Claims Management capabilities allow you to quickly process and bill claims to insurance carriers and patients and track those claims using a variety of reports.

When optometry practices maximize the integrations and features available through their practice management system and clearinghouse, the outcome is clear. The efficiencies gained allow practices to collect more revenue and automate manual tasks, resulting in happier staff members and increased patient satisfaction.

Learn more about how TPS integrates with the Eyefinity platform to simplify your practice’s revenue cycle management.