Optometry & Eye Care Compliance and Risk Scoring API

About This Product

Tired of manually auditing every patient record for outdated consent forms, missed insurance verification, or regulatory slip-ups? Automate compliance and spot risk before it becomes a fine or a lawsuit.

This API turns compliance from a reactive headache into a proactive, real-time risk score. It scans your practice management system, patient intake forms, and billing data against optometry-specific regulations (HIPAA, state laws, insurance guidelines) and returns a single, actionable compliance score per record. No more spreadsheets—just JSON.

## What's Included

- Real-time risk scoring per patient, provider, or transaction with percentile rank and specific violation flags. - Pre-built rules engine covering optometry-specific compliance points: consent forms, dilation documentation, medical necessity justification, and insurance prior authorization. - Seamless REST integration with any EHR, PM, or billing system via OAuth 2.0 and webhooks for automated alerts. - Audit-ready reports automatically formatted for state board reviews and insurance audits. - Customizable risk thresholds and exclusion rules so you can adjust for your practice's risk appetite.

Key Features

• Tired of manually auditing every patient record for outdated consent forms, missed insurance verification, or regulatory slip-ups? Automate compliance and spot risk before it becomes a fine or a lawsuit
• This API turns compliance from a reactive headache into a proactive, real-time risk score
• It scans your practice management system, patient intake forms, and billing data against optometry-specific regulations (HIPAA, state laws, insurance guidelines) and returns a single, actionable compliance score per record
• No more spreadsheets—just JSON
• ## What's Included - Real-time risk scoring per patient, provider, or transaction with percentile rank and specific violation flags
• - Pre-built rules engine covering optometry-specific compliance points: consent forms, dilation documentation, medical necessity justification, and insurance prior authorization