Optometry Billing & Coding Software That Suggests the Codes For You
Jelo's in-exam AI reads your charting and proposes ICD-10 codes and a treatment plan in real time. Built-in insurance verification, claims, superbills, and patient billing — at $200/month flat for the whole practice.
Live in 2–3 days · Free migration · BAA included
What is optometry billing and coding software?
Optometry billing and coding software automates ICD-10 code selection, CPT-92xxx claim submission, and insurance benefit verification for eye-care-specific encounters. Modern platforms like Jelo go further by reading the exam findings in real time and suggesting both the diagnosis code and the treatment plan to the doctor, who reviews and accepts each one. Built-in eligibility, claims, superbills, and patient billing — at $200/month flat.
For practices that still bill by hand or rely on a generic medical EHR, the win is two-fold: fewer rejected claims because the codes match the documentation, and recovered time because the doctor is no longer the bottleneck on coding. See our full optometry CPT codes guide for the underlying code references.
Manual coding leaks revenue at three different points
Code-to-documentation mismatch
A 92004 billed against documentation that only supports a 92002 gets denied or downcoded. A doctor coding from memory has no real-time check against what they actually documented in the chart.
Missed billable findings
Dry eye, blepharitis, posterior vitreous detachment, and other commonly under-coded findings sit in the exam notes but never make it to a claim. Per AOA guidance on coding accuracy, this is one of the largest sources of underbilling for independent practices.
Coding done after the patient leaves
When coding happens at the end of the day, the doctor is reconstructing the visit from memory. AI-assisted coding inside the exam captures the right code while the chart is open and the findings are fresh.
The AI codes alongside you — you stay in control
In-exam ICD-10 suggestions (LIVE)
As you chart, the AI reads the findings and proposes ICD-10 codes. You accept, edit, or reject each one. No silent submissions.
Treatment plan suggestions (LIVE)
The same AI proposes a treatment plan based on the entered findings and the patient's profile. Useful as a sanity check; you decide what gets documented.
Insurance benefit verification (LIVE)
Verify medical and vision plan benefits inside Jelo before the visit so the front desk knows the patient's coverage up front.
Claims, superbills, patient billing (LIVE)
Submit claims, generate superbills, and run patient billing without leaving the platform. Included in the $200/month — no per-claim fee.
AI claims agent (ROADMAP)
An AI that auto-fills, submits, tracks, and disputes denials end-to-end is on the roadmap. Not shipped yet — and we will not tell you it is.
Coverage of CPT 92xxx + E/M 99xxx
Comprehensive and intermediate eye exams, contact lens services, visual fields, OCT, fundus photography, and E/M office visits when medically indicated.
Manual coding vs AI-assisted Jelo
| Workflow step | Manual / legacy | Jelo |
|---|---|---|
| ICD-10 selection | Manual lookup after the exam | AI suggests in-exam, doctor approves |
| Treatment plan | Free-text re-typing | AI-drafted, doctor edits and accepts |
| Benefit verification | Phone or payer portal | Built-in, before the visit |
| Claim submission | Separate clearinghouse | Included in $200/month |
| Superbills | Generated manually or via add-on | One click from the visit |
| Per-claim cost | $0.30–$1.00 typical | $0 |
| Pricing | $80–200/mo billing service + EHR cost | $200/month flat — everything |
$200/month — billing and coding included
- Flat $200/month — entire practice
- All billing and coding features included
- No per-claim fee, no clearinghouse upcharge
- Price-lock for the lifetime of the account
- Free data migration up to 3 years of history
- HIPAA compliant with BAA included
Billing & coding FAQ
See the AI code an exam in real time
20-minute walk-through. Bring a sample exam — we'll show you the AI suggesting ICD-10 codes against real documentation.
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