What this page covers
Eye care combines very high visit volume with a recurring, high-cost injection clinic. The general schedule turns over a large number of exams and procedures, while the retina side runs patients through a fixed anti-VEGF injection cadence with expensive buy-and-bill drugs. Flexbone automates the scheduling and recall that keep the day full and the authorization work the injection clinic depends on.
How does AI schedule and run calls for an ophthalmology practice?
Flexbone answers inbound calls and books the high-volume schedule an eye care practice depends on. An ophthalmology or optometry practice books a large number of comprehensive exams (CPT 92004 and 92014), cataract evaluations and surgeries, glaucoma follow-ups, and routine vision visits, plus an optical dispensary. At that volume, recall is revenue: annual exams, glaucoma monitoring, and contact-lens follow-ups all depend on getting patients back on schedule. Flexbone books and confirms visits in Nextech, Compulink, or RevolutionEHR, runs recall campaigns, fills cancellations, and supports optical reorder and pickup outreach.
Get an outside read on your ophthalmology workflow
In 30 minutes we map your current volume, the payers and systems involved, where staff time goes, and the highest-ROI calls and follow-ups Flexbone can take off your team first, scoped to the work you actually run.
How does AI handle ophthalmology prior authorization?
Flexbone verifies the benefit and submits the 278 prior authorization request for the anti-VEGF injections that gate retina revenue. The retina clinic runs patients with macular degeneration, diabetic macular edema, and retinal vein occlusion through a recurring intravitreal anti-VEGF injection schedule using drugs such as Eylea, Lucentis, and Avastin. These are high-cost, often buy-and-bill, and commonly require prior authorization and careful benefit verification, whether the payer is Medicare or a commercial plan. Flexbone tracks the drug authorization to a decision and keeps the recurring injection visits on cadence so a covered patient does not miss a dose to an administrative gap. Denials route to appeal.
Can AI verify insurance eligibility for an ophthalmology practice?
Yes. Flexbone runs the 270/271 eligibility check before the visit through payer portals such as Availity and deploys voice and browser agents for scheduling, recall, confirmation, and optical outreach on the front office and eligibility, injection-drug authorization, and denial follow-up on the back office. Everything writes back to Nextech, Compulink, or RevolutionEHR under HIPAA, and exceptions route to staff with context. The rollout is scoped to your visit types, the injectables you use, and your payers.