How Do You Find Trusted iTRUST Outsourcing Services?
Dedicated HIPAA-trained eye care teams work inside your own iTRUST system, covering the front desk, vision and medical eligibility, prior authorizations, dual claims, recall, and optical admin. Flat weekly pricing from $299 per FTE (volume based), with a trained backup included at no charge. Live in 14 days.
The Work Your Team Does in iTRUST, We Staff
What Is iTRUST?
iTRUST, now branded iTRUST AI, is a cloud EHR and practice management platform for optometry, ophthalmology, and optical retail, co-founded in Miami by two practicing optometrists, Dr. Matthew Chrycy and Dr. Adam Stelzer. It bundles what an eye care practice usually buys separately: charting, claims and billing with the iTRUST EDI Clearinghouse, optical point of sale with inventory management, recall and reminders, two-way texting and WhatsApp, online booking, telemedicine, e-prescribing, payments through iTRUST Pay, and a growing set of AI tools including an AI receptionist and an AI doctor assistant. The platform is ONC certified and Drummond certified and runs on AWS and Azure infrastructure.
An all-in-one platform concentrates the work in one place; it does not do the work. Two plans still need verifying per patient, authorizations still need chasing, claims still need edits and appeals, frames still need receiving and reconciling, and the recall list still rewards a human phone call. iTRUST gives your practice one system to run; this service gives you the team to run it.
Who Is This For?
Eye care practices that run on iTRUST and are outgrowing their admin capacity: independent optometry offices where the optician is also the biller, practices with busy optical retail floors, multi-doctor offices adding locations, and modern cloud-first startups that want the back office staffed without building one.
Where iTRUST Practices Lose Time and Money
Refractions sit on the line between the vision plan and the medical plan. Split them wrong and payment shrinks or the claim bounces, on one of the most common charges in the practice.
See the fixA denial that sits for 45 days becomes a write-off nobody approved. The revenue was earned in the chair; it leaks in the follow-up queue.
See the fixThe clearinghouse moves claims, but VSP, EyeMed, and the medical payers keep their own eligibility portals. Front desks bounce between tabs while the phone rings.
See the fixTexts and reminders convert the easy patients. The overdue majority needs a person on the phone, and in a busy office that call list loses to the front counter, day after day.
See the fixFront Desk and Patient Records
Our team keeps iTRUST records clean and current: new patient setup, demographics, vision and medical insurance entry, and contact details, plus the message queues that stack up in a texting-first practice. Where the AI receptionist books the appointment, our specialists verify what the automation captured, complete the record, and route anything clinical to your staff. Clean records at the front protect the benefit check, the claim, and the optical order behind it.
Scheduling, Booking, and Recall
iTRUST’s online booking and Recall & Reminders automate the first pass; our specialists close the loop. We manage the schedule, confirm and reschedule, follow up on no-shows through the two-way texting queue, and call the recall patients automation does not convert: the year-overdue exams, the expired prescriptions, the unused year-end benefits. Full books come from automation plus a person who keeps dialing.
Vision and Medical Eligibility
Before each clinic day, our team verifies both sides of coverage: vision plan eligibility and authorizations pulled from the VSP, EyeMed, and other payer portals, and medical plan benefits for visits with a medical diagnosis, documented in iTRUST with copays and material allowances. The two-plan check runs for the full schedule, so the front desk greets patients instead of portals.
Prior Authorization
Medical eye care brings authorization work that portals alone do not finish: anti-VEGF injections, cataract surgery and IOLs, glaucoma procedures, and advanced imaging. Our specialists prepare and submit the requests, document approval numbers and date ranges in iTRUST, and track each authorization to closure so services are not performed against an expired or missing auth.
Medical vs Vision Claim Routing
Each encounter has to land on the right payer before it becomes a claim. Our team applies your routing rules inside iTRUST before submission: routine exams and materials to the vision plan, medically driven visits to the medical plan, and refraction charges split correctly when one visit touches both. Getting this right up front prevents the same-visit billing trap that turns a clean encounter into 60 days of rework.
Claims, Posting, and AR
Dedicated billers work your claims end to end through the iTRUST EDI Clearinghouse: edits, submission to vision and medical payers, status follow-up, denial work and appeals, payment posting, patient statements, and AR aging. Automation moves the clean claims; our billers own the exceptions, the payer phone calls, and the balances that need a second and third touch before they become write-offs. Daily production reporting shows claims sent, posted, and appealed, every evening.
Optical POS and Inventory Admin
iTRUST combines optical point of sale, billing, and inventory management in one place; our team handles the administrative load behind the retail floor. We track materials orders, watch job status, call patients when glasses and contacts arrive, follow up on stalled orders, and keep inventory records reconciled on the admin side. Materials revenue is a large share of practice income, and it holds up only when someone owns the order queue daily.
Reports and Admin
We put a named owner on your reporting calendar: production by provider, recall performance, AR aging, and optical sales summaries, delivered on schedule with the routine admin around them, document filing, records requests, and credentialing paperwork support. Analytics only catch revenue leaks when someone opens them every week; on our accounts, someone does.
Put a Dedicated iTRUST Team on This Work
You have seen what we cover, from the booking queue to the optical bench. Meet us, pick the seats you need, and watch a trained team work your own iTRUST queues before you commit to anything.
Book Your 2-Week Free TrialHow Our Teams Train and Go Live on iTRUST
Every engagement starts with your workflows, not a generic script. We document how your practice actually uses iTRUST, which vision plans you accept, how you route medical versus vision visits, how the optical floor handles orders, and which automations you already run, then train your dedicated team on those SOPs with supervised production before anyone works alone. Specialists log in with named, auditable iTRUST credentials, never shared logins, and report production every evening in your own format: patients verified, authorizations submitted, claims worked, recalls completed. A trained backup shadows the account from day one and steps in at no charge when your primary specialist is out.
Why Outsource iTRUST Work, and Why Staffingly
Most vendors sell eye care billing alone. We staff across the workflow: front desk, eligibility, prior auth, claim routing, billing, recall, and optical admin, so work stops falling between vendors.
iTRUST automates booking, reminders, and clean claims. Our specialists own the exceptions: unreachable patients, payer phone calls, appeals, and routing judgment. The two together cover the queue.
Billing services priced on collections take more as you grow. Our model is a flat weekly fee per dedicated specialist, so every efficiency gain stays with the practice.
Live in 14 days. 2-Week Free Trial. Replace any team member in 48 hours. 800+ providers served, 4.9 Google rating you can verify on our listing.
Practice Types We Support on iTRUST
Independent optometry practices (one team covering verification, recall, and claims), optical-retail-heavy offices (order tracking and inventory admin behind the sales floor), multi-doctor and multi-location groups (a shared eligibility and billing pod with per-location reporting), and ophthalmology practices whose surgical lines add prior authorizations and modifier-heavy claims.
Security and Compliance
HIPAA-trained staff. Business Associate Agreements executed with every client. Workflows designed to support HIPAA compliance, with SOC 2 Type II attestation, ISO 27001:2022, $5M E&O and cyber liability coverage, and named individual credentials with full audit logs. Read the complete program, including our corporate structure and evaluation framework, at HIPAA and Security at Staffingly.
Process and Onboarding
20 to 30 minutes on Teams. We map your iTRUST queues, vision plans, and pain points before we meet.
Named iTRUST user credentials per specialist, least-privilege roles, your approval on every account.
Your SOPs plus our eye care training library; supervised production from day one.
Daily production reports, weekly KPI review, month-to-month after your 2-Week Free Trial.
Flat Weekly Pricing Per Dedicated Specialist
1 to 4 dedicated iTRUST FTEs.
5 to 9 FTEs.
10+ FTEs.
45 hours of coverage for less than others charge for 40.
$399 per week works out to $8.87 per hour across 2,340 hours of coverage a year, flat. Your dedicated specialist covers a 9 hour day, Monday to Friday, a full hour more than a standard shift: the day starts by clearing what arrived after you closed, overnight texts, booking requests, and payer correspondence, and it ends past your close so far less rolls into tomorrow. A trained backup steps in at no charge whenever they are out. Flat weekly fee per dedicated specialist, never a percentage of your collections, no setup fees.
Start with a 2-Week Free Trial. Month-to-month after, with no long-term contract.
- Salary + payroll taxes + benefits
- Recruiting + turnover replacement
- Training on eye care + your software
- Software seat + equipment + PTO coverage
Calculate Savings
iTRUST Outsourcing: Frequently Asked Questions
What tasks can a virtual assistant handle in iTRUST?
Patient registration, demographics and insurance entry, scheduling and booking follow-up, recall calls, two-way texting queues, vision and medical eligibility checks, prior authorization tracking, claim edits and follow-up, payment posting, optical order tracking, and report pulls. Administrative work inside iTRUST, a trained remote specialist can own.
Can you outsource iTRUST billing and claims work?
Yes. Dedicated billers work both claim streams, vision plans and medical payers, through the iTRUST EDI Clearinghouse: edits, submission, status follow-up, denials and appeals, posting, statements, and AR, with daily production reporting.
Does this replace the iTRUST AI receptionist and automation?
No, it completes it. The AI answers calls and books appointments; our specialists verify what automation captured, work the exception queues, call the patients who do not respond, and handle the payer conversations that still need a human.
Can your team verify VSP and EyeMed benefits before exams?
Yes. We pull vision plan eligibility and authorizations from the payer portals, check the medical plan for medically driven visits, and document benefits, copays, and material allowances in iTRUST before the patient arrives.
Can you support our optical retail side in iTRUST?
Yes, on the admin side: entering and tracking materials orders, watching job status, calling patients at pickup time, following up on stalled orders, and keeping inventory records reconciled. Merchandising and in-store dispensing stay with your opticians.
How do your staff access our iTRUST system?
Through named individual user accounts you approve, with least-privilege roles and full audit logging. No shared logins, no offline exports of PHI.
How fast can a dedicated iTRUST team start?
Typically live in 14 days: access setup, workflow training on your SOPs, then supervised production. The engagement starts with a 2-Week Free Trial.
Is outsourced iTRUST work secure and HIPAA-ready?
HIPAA-trained staff, executed BAAs, workflows designed to support HIPAA compliance, SOC 2 Type II, ISO 27001:2022, and $5M in coverage. Full detail on our security page.
Eye Care Resources for iTRUST Practices
From our eye care library: the workflows our teams run on optometry and optical accounts.
Written By
Dan Nandan has spent 25+ years in IT consulting and healthcare BPO, was among the first in the US to build an RPO/BPO delivery network overseas, and has been featured in Computerworld. He runs the operations and the dedicated virtual teams behind the eye care workflows on this page.
Connect on LinkedInSee what a dedicated iTRUST team changes in 14 days.
Book a strategy meeting. Dan Nandan, CEO, joins most calls personally. Real conversation, real numbers for your practice.
Claim Your 2-Week Free TrialiTRUST and iTRUST AI are trademarks of their owner. Staffingly, Inc. is an independent outsourcing provider and is not affiliated with or endorsed by iTRUST. Staffingly works inside client-owned iTRUST systems under client-granted access.