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Insurance Claims

Submit and track insurance claims for consultations and surgeries — with pre-auth and rejection workflows built in.

Insurance billing is the biggest source of revenue leakage

Manual claim submission, missed pre-authorisation deadlines, and untracked rejections leave significant revenue uncollected each month.

Pre-auth forgotten

Surgical procedures performed without confirmed pre-authorisation result in full claim rejection.

Rejections unresolved

Rejected claims sitting in a pile without structured follow-up eventually exceed appeal deadlines.

Coding errors

Wrong ICD or CPT codes applied to ophthalmic procedures trigger automatic rejections at the payer.

Insurance claims capabilities

From pre-authorisation to reconciliation — every step tracked.

Pre-authorisation management

Submit and track pre-auth requests with deadline alerts before the procedure date.

Claim submission

Generate and submit claims from clinical session data with auto-populated procedure codes.

Rejection tracking

Capture rejection reason codes and route rejected claims to the correct staff member for appeal.

Claim status tracking

Track every claim through submitted → approved → paid → reconciled with outstanding balance visibility.

Payer-specific rules

Configure per-payer coding requirements, documentation attachments, and submission formats.

Reconciliation reporting

Match insurance payments to expected reimbursements and flag underpayments automatically.

Recovers revenue that currently slips through the cracks

Structured rejection tracking and appeal workflows ensure no claim is abandoned before it's exhausted.

See the full ophthalmology platform →

Every claim submitted. Every rejection resolved.

WIO CLINIC insurance claim management captures the revenue your ophthalmic practice has already earned.

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WIO CLINIC

One platform for every clinic

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WIO CLINIC, dünya çapında klinik operasyonlarını dönüştürmeye kararlı kapsamlı bir sağlık yönetim platformudur. Bu web sitesi ve hizmetleri bilgilendirme amaçlı sağlanmaktadır. Tüm tıbbi ve sağlıkla ilgili bilgiler kalifiye sağlık profesyonelleri ile doğrulanmalıdır. WIO CLINIC, HIPAA, GDPR ve yerel sağlık düzenlemeleri dahil olmak üzere uluslararası sağlık veri koruma standartlarına uygundur. Platformumuz ISO/IEC 9001 (Kalite Yönetimi), ISO/IEC 27001 (Bilgi Güvenliği), ISO/IEC 27017 (Bulut Güvenliği), ISO/IEC 27018 (Bulut Gizliliği), ISO 13606 (Elektronik Sağlık Kaydı İletişimi), ISO/HL7 27931 (Veri Değişim Standartları), ISO 9241-210 (İnsan Merkezli Tasarım), ISO 25010 (Yazılım Kalitesi), ISO 18308 (ESK Mimarileri için Gereksinimler) ve ISO 21549 (Hasta Sağlık Kartı Verileri) kapsamında sertifikalıdır. Tüm ticari markalar, hizmet markaları ve logolar ilgili sahiplerinin mülkiyetindedir. Bu platformun kullanımı, Hizmet Şartlarımız ve Gizlilik Politikamızın kabul edildiği anlamına gelir.

WIO CLINIC is a product of WIO Software. All rights reserved. The information provided on this website is for general informational purposes only. WIO CLINIC and its services are subject to our terms of service and privacy policy.