Accelerating Reverification at Carolina Eye Associates
Overview
Carolina Eye Associates is a high-volume ophthalmology practice specializing in infusion and injection therapies for patients with complex retinal conditions. With a large and growing patient population depending on consistent access to sight-preserving treatments, administrative efficiency isn’t just an operational priority — it’s a patient care imperative.
As annual reverification season approached, Carolina Eye Associates recognized that their existing processes were no longer sustainable. The practice needed a smarter, faster, and more reliable solution to manage the surge in benefit verifications without compromising patient access or staff wellbeing.
The Challenge
Annual reverification season places an intense strain on specialty practices. For Carolina Eye Associates, the challenges were both systemic and time-sensitive.
Payers frequently quoted incorrect benefits for the high-cost therapies the practice administers, creating downstream issues that required staff to spend valuable time correcting errors, resubmitting requests, and navigating payer disputes. These inaccuracies not only created administrative bottlenecks but introduced real risk of treatment delays for patients who depend on timely injections and infusions to preserve their vision.
Compounding the problem was sheer volume. The manual processes the practice relied upon were ill-equipped to handle the scale of annual reverifications. Staff capacity was stretched thin, morale was impacted, and the margin for error grew with every additional case in the queue. Leadership knew that without intervention, the upcoming reverification season would be their most difficult yet.
The Solution
Carolina Eye Associates turned to CareTria Provider Connect — a purpose-built Benefit Investigation (BI) and Prior Authorization (PA) solution developed from more than a decade of specialty healthcare experience.
CareTria Provider Connect was implemented to automate the reverification workflow from end to end, reducing the manual touchpoints that had previously consumed staff time and introduced inaccuracies. The platform was designed to scale efficiently during peak periods, ensuring that high volumes of reverifications could be processed quickly without sacrificing the accuracy that high-cost therapy management demands.
CareTria’s team worked closely with Carolina Eye Associates to configure the platform to their specific payer mix, therapy types, and workflow requirements — ensuring a smooth implementation ahead of the reverification rush.
The Results
The impact was immediate and measurable.
In January 2025 alone, CareTria Provider Connect completed 1,665 full reverifications — processing a volume that would have overwhelmed the practice’s previous manual workflow. Critically, the practice recorded zero missed appointments during the period, meaning no patient lost access to care due to an administrative failure.
The platform achieved an 80% automation rate, dramatically reducing the manual burden on staff and freeing the team to focus on higher-value patient interactions rather than administrative firefighting.
For Front Office Manager Tonya Strange, the results spoke for themselves:
“We are new to CareTria Provider Connect . I was skeptical of how quickly they could return a full benefit investigation and obtain an authorization, but to my surprise, most all of them are really that quick! We have also been impressed with the accuracy of the information obtained. This was, by far, our smoothest reverification season yet!”
Conclusion
For high-volume specialty practices like Carolina Eye Associates, reverification season no longer has to mean disruption. CareTria’s Provider Connect platform demonstrates that with the right technology and the right partner, practices can protect patient access, reduce administrative strain, and scale confidently — even during the most demanding periods of the year.
Ready to Transform Your Reverification Process?
Don’t let another reverification season strain your staff or put patient access at risk. CareTria Provider Connect gives your practice the automation, accuracy, and scalability needed to handle peak periods with confidence.
See how CareTria Provider Connect can work for your practice — schedule a demo with CareTria today.