The Pre-RCM Engine for Eye Care

You run the clinic. Gimbl runs the billing.

Every check-in, your front desk makes a split-second call: bill this medical, or vision? Gimbl makes that call correct before the exam starts, so denials never happen in the first place.

7-day free trial. No credit card. No EHR change. Live in 5 minutes.

Your front desk makes a $200 decision in thirty seconds.

Medical or vision? It's the hardest call in eye-care billing, made by the least-trained person under the most pressure while a patient waits. Get it wrong and the denial lands three weeks later, when the revenue is already gone.

  • 1 in 7 — claims denied on the first pass, industry-wide
  • 3 wks — before a front-desk error surfaces as a denial
  • 65% — of denials never reworked or recovered

Everyone else reworks denials after the fact. Gimbl prevents them at the source, when the encounter is created.

Four things Gimbl gets right on every single visit.

Finds insurance instantly

No card needed. Name, DOB and ZIP. Done in seconds.

Coverage is discovered and verified before the patient reaches the lane, so nothing is keyed twice.

Routes every visit correctly

Medical or vision, decided automatically at intake. No training required.

The rules engine reads the encounter and sends each line to the payer that actually owes it.

Flags dual billing every time

When both insurers owe money on the same visit, Gimbl catches it. Most practices miss this entirely.

Split the claim correctly and collect from both payers, instead of leaving the second one on the table.

Exact CPT codes. Clean claim.

AMA-licensed. Right codes, right payer, before the exam starts.

A billing-ready summary is built the first time and flows straight into your existing system.

The same flow your team already runs, just made correct.

  1. Capture the encounter — The front desk enters why the patient is here and what coverage they hold. No coding knowledge required.
  2. Gimbl calculates — The engine resolves medical vs. vision against payer rules and picks the exact codes for each.
  3. A clean claim, ready — A billing-ready summary flows into your existing system. Nothing to rework, nothing to chase.

Hard numbers, on your own claims.

Modeled on a typical independent practice running ~8,000 claims a year. A free denial check-up replaces these estimates with your actual figures.

  • 15% → 6% — First-pass denial rate: Once the medical-vs-vision decision is made correctly at the source, denials on that split drop sharply.
  • $39.6K — Recovered per practice per year: Avoided rework cost plus revenue that used to be written off, modeled on ~8,000 claims a year.
  • Weeks → 1 day — Onboarding a new front-desk hire: For a brand-new hire to bill eye care correctly, with GIMBL behind them. No long training runway.

Independent eye care that bills both worlds.

  • Optometry practices with 2 to 6 doctors.
  • You bill both vision plans and medical insurance.
  • The front desk handles coding decisions, not a billing specialist.
  • Turnover means constantly re-training new staff.
  • Every denied claim is felt. No big back office to absorb it.

Depth beats breadth in a specialized field.

GIMBL isn't a general billing platform for all of healthcare. It's built for the one specialty where the medical-vs-vision split is hardest and practices are leanest. That focus is why it works. The rules engine knows eye care cold and sharpens with every claim.

Frequently asked questions

Do I need to change my EHR or practice management system?

No. Gimbl runs alongside whatever you already use. The billing-ready summary flows into your existing system, so there is nothing to migrate and no workflow to relearn.

How fast is setup?

Most practices are live in about five minutes. There is no implementation project and no IT ticket. You sign up, point Gimbl at your front desk, and start the next visit on it.

Is Gimbl HIPAA compliant?

Yes. Gimbl is built for protected health information from the ground up, with encryption in transit and at rest and a signed BAA available for every practice.

What about my current biller or billing service?

They keep doing what they do, with far cleaner claims to work from. Gimbl fixes the medical-vs-vision decision at the source, so your biller spends less time on rework and appeals.

What does the 7-day free trial include?

Full access to insurance discovery, routing, dual-billing detection and clean-claim generation. No credit card, no commitment. If it is not saving your front desk time, walk away.

Which payers do you support?

Both sides of eye care: vision plans like VSP, EyeMed and Davis Vision, and medical payers including Medicare, Medicaid and the major commercial carriers.