Optical: regaining control of insurer billing
Quotes, approvals, invoices, rejections: structuring a seamless path between store and back-office.
The optical sector is one of the most exposed to insurer billing friction: multiple quotes, annual caps, network agreements, photo justifications, 100% health equipment, frames and lenses billed separately. Each file touches 3 to 5 actors and requires fine coordination.
The typical equipment path begins with an exam, generates a quote, requests approval from the network or insurer, awaits agreement, triggers the order, organizes delivery, bills the third-party and patient share, then tracks reimbursement.
At each step, the risk of disruption is high. A forgotten approval, an exceeded cap, a missing document, and the file is blocked. On already thin margins, these blocks translate directly into hard losses.
Structuring a seamless path between store (sales, optician) and back-office (billing, collections) is the condition for healthy profitability. This structuring cannot rest on individual memory or Excel files: it must rely on a system tracking each file end to end.
An AI agent can track each file in parallel, without omission, and intervene at the right moment: alert the store if a quote was not followed by an approval within 5 days, follow up an unresponsive network, automatically upload a justification to the insurer portal.
Network agreement management is particularly complex. Each network has its own rules, negotiated tariffs, and request procedures. An agent unifies these interfaces.
The 100% health equipment adds another complexity layer with its systematic offer obligations, regulated tariffs, and specific justifications. Compliance must be guaranteed at each sale.
Granit unifies this path in a single patient timeline, accessible in store as at headquarters. The salesperson sees the complete file history, approval status, ongoing actions. The back-office sees volumes, blocks, KPIs.
The benefit is measured on three axes: quote-to-sale conversion rate (better follow-up, fewer abandonments), payment delay (faster collection), and administrative productivity (less time per file).
For a multi-site optical group, the effect is multiplied. Practice standardization across stores becomes possible, best practices spread, and group steering finally becomes objective.