Built for OfficeMate practices — by a practicing OD

Your OfficeMate Server Doesn't Have to Run Your Practice.
AI Can.

refract.ing plugs into your on-prem OfficeMate server and automates the entire back office — ERA posting, insurance verification, recalls, collections, AR follow-up — 24/7, without staff intervention. HIPAA-safe. No PHI leaves your network.

app.refract.ing/dashboard refract.ing Dashboard Patients Billing & ERA AI Skills 53 Insurance Reports Settings All systems green Good morning, Doctor Practice intelligence · updated 2s ago RECOVERED THIS MONTH $28,417 ▲ 18.2% vs last month NO-SHOW RECOVERY 22% 7 recovered today ERAS POSTED 47 3.2 hrs saved AI SKILLS RUNNING 53 Fleet conductor OK Recent AI Activity ERA posted · VSP remit · $4,280 2m ago Appt confirmed · Maria L. · 3:20 PM 5m ago Eligibility verified · 23 patients 12m ago No-show SMS sent · 7 patients 18m ago
$28,417
Recovered this month
🤖
53 skills
Running 24/7
Trusted Integrations & Technologies
If this sounds familiar…

OfficeMate Was Built in 2005.
Your Practice Lives in 2026.

Every day you lose hours — and thousands of dollars — to on-prem software that crashes, SQL servers that fail, and workflows Eyefinity will never automate for you. We built refract.ing because we ran a practice on OfficeMate too. Here's what you're actually dealing with:

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"The server crashed again."

On-prem SQL corruption. Backups that silently fail. $5K+ server replacement bills every few years. No IT team to call at 7:30am when the front desk can't check patients in.

"3 hours a day posting ERAs."

VSP, EyeMed, Blue Shield — every remittance hand-keyed. Line by line. 15+ staff hours a week that never come back. And ERA on Terminal Services? Forget it.

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"Support ticket. 48-hour response."

Eyefinity removed their support phone line. Every rep gives a different answer. Meanwhile your schedule is wide open and patients are waiting on hold.

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"Can't open two windows at once."

Need the patient chart and the schedule side by side? OfficeMate says no. Built when monitors were 15 inches. Still acts like it in 2026.

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"Reports export to a mess."

Every production report needs 20 minutes of Excel cleanup before a human can read it. Revenue decisions get delayed a week. Leadership meetings run on guesswork.

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"Insurance verification is manual."

VSP portal. EyeMed portal. Blue Shield portal. Three separate logins, every morning, every patient. Denials you could have caught 72 hours out — found on the day of service.

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"Updates break more than they fix."

Patch Tuesday = broken reports. New release = retrain your staff. 20+ years of technical debt layered on a database that was never built for modern workflows.

🧑‍⚕️

"Staff quit. We retrain. They quit."

40 hours to onboard a new front desk. 14 screens for one patient encounter. Your margins bleed every turnover — and OfficeMate's UX guarantees turnover.

refract.ing plugs directly into your OfficeMate on-prem SQL Server.
Read-only SDK. No PHI leaves your network. HIPAA-safe by design. We automate the 80% of your back office that Eyefinity never will — while you keep OfficeMate exactly where it is.

Everything Your Practice Needs.
Nothing It Doesn't.

Six core capability layers working in concert to automate every operational workflow in your practice.

🔄

Real-Time EMR Sync

Direct integration with your OfficeMate on-prem SQL Server. EfSync watcher delivers changes in seconds. History poller catches every gap. CrystalPM support in beta — coming soon.

How it works →
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ERA Auto-Posting

ANSI X12 835 EDI files fetched from SFTP, parsed, and posted to OfficeMate automatically. VSP, Blue Shield, EyeMed — all handled. Zero manual remittance.

See the engine →
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Insurance Automation

Batch eligibility verification 48-72hrs before appointments. Browser automation for VSP and EyeMed portals. Denial monitoring with auto-generated appeal letters.

Explore →
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Smart Communications

Confirmations, no-show recovery, recall campaigns, balance reminders, order-ready alerts — all orchestrated through a unified message scheduler. No overlaps.

See all channels →
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53 AI Skills

Claude-powered agents for morning briefings, lapsed patient outreach, collections runs, predictive analytics, VIP care, and more. Fleet conductor schedules them daily.

Browse skills →
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Practice Dashboard

21+ reporting tabs with real-time production metrics, 71+ API endpoints, 9 ML prediction views, and automated daily/weekly/monthly reports. One screen runs your practice.

Preview dashboard →

Your Practice Is Leaking Revenue.
We Plug Every Hole.

The average optometry practice loses $80K–$150K annually from workflows nobody has time to manage. refract.ing identifies and recovers it automatically.

No-Show Recovery
$28K/yr
Automated 30-min + 48-hr recovery sequences with 22% conversion rate.
Lapsed Patient Recalls
$80K+
AI-segmented multi-touch campaigns for patients overdue 18+ months.
ERA Posting Labor
3 hrs/day
Eliminated. Fully automated from SFTP fetch to OfficeMate posting in ~4 minutes.
Optical Lost Sales
20–30%
Conversion campaigns for exam patients who left without purchasing.
Total Annual Recovery Opportunity
$80K–$150K
Every practice has revenue sitting in the database. The free ROI audit shows you your exact number — calculated from your own OfficeMate data.

Go Live in 3 Steps.

From audit to fully autonomous operation in under 3 weeks. No disruption to your daily workflow.

STEP 01
Free ROI Audit

We connect to your OfficeMate (read-only SDK — no PHI leaves your server) and pull 90 days of data: appointments, no-shows, recalls, AR aging, ERA history. You get a Recovery Report showing the exact dollar value of what's recoverable. Takes 20 minutes. Zero obligation.

STEP 02
White-Glove Onboarding

We handle the entire setup. OfficeMate connection, communication templates, insurance portal setup, and ERA pipeline configuration. Your staff is not involved. Our team personally onboards the first 25 practices.

STEP 03
Autonomous Operation

Within 2–3 weeks, 76+ services are running. Confirmations sending. ERAs posting. Insurance verifying. Recalls running. Collections managed. Morning briefings delivered. Your practice runs itself — and you see everything on the dashboard.

OfficeMate On-Prem · SQL EfSync refract.ing 53 AI Skills Claude · Node · MSSQL 💬 Patients Confirm SMS + Email · Auto 💰 ERAs Posted VSP · EyeMed · BSCA 📈 Revenue Recovered Dashboard · Daily OFFICEMATE → REFRACT.ING → OUTCOMES
Your on-prem server stays put. The AI handles everything else.
Live Production Metrics
🔄

Patient Sync

5,317 patients synced bidirectionally to CRM

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Appointment Sync

226+ appointments syncing bidirectionally

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ERA Engine

122 passing unit tests — VSP, Blue Shield, EyeMed

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AI Skills Active

53 registered, 40+ running in daily playbook

Simple, Transparent Pricing.

Every plan includes setup, onboarding, and support. No per-message fees. No surprise charges. 30-day money-back guarantee.

Core
$499/mo
Essential automation for independent optometry practices.
  • OfficeMate on-prem sync (CrystalPM beta)
  • Unified patient communications
  • Appointment confirmations + reminders
  • No-show recovery workflow
  • Order-ready notifications
  • Practice dashboard (21+ tabs)
  • White-glove onboarding included

Built by a Doctor. Trusted by Practices.

Early feedback from optometry professionals who have seen the platform in action.

★★★★★
"The ERA automation alone would have paid for three years of the subscription in the first month. We were spending 15 hours a week on manual posting."
OD
Independent OD, Orange County
20+ years on OfficeMate
★★★★★
"When I saw 53 AI skills running autonomously on a live dashboard, I knew this wasn't another SaaS pitch. This is real software solving real problems."
JS
Practice Management Consultant
Southern California
★★★★★
"The recall campaign recovered 18 appointments in its first run. We hadn't contacted those patients in over a year. That's revenue we would have never seen."
OD
Early Access Practice
Beta Program

Frequently Asked Questions

Everything you need to know before getting started.

Is this HIPAA compliant?
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Yes. PHI never leaves your on-premises server. The refract.ing platform runs on your own Windows server (or one you control) inside your network. We use OfficeMate's built-in SDK stored procedures for read-only access. Any patient-communications vendor we connect to signs a BAA before outbound messaging is enabled. No patient data is stored in our cloud.

Which EMR systems are supported?
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OfficeMate (Eyefinity) on-prem is fully supported today. CrystalPM support is in active beta. The platform is architecturally designed for multi-EMR — NextGen, Compumed, and RevolutionEHR adapters are on the 2026 roadmap.

How long does setup take?
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2–3 weeks from start to fully autonomous operation. Our team personally handles the OfficeMate connection, CRM setup, and service deployment. Your staff is not involved in the technical setup.

What if we already use Weave or Solutionreach?
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Weave and Solutionreach handle basic patient messaging (SMS/email). refract.ing handles billing automation, ERA posting, insurance verification, AI skills, and predictive analytics — the operational layer those products don't touch. They're complementary. Many practices run both initially and phase out the other tool once they see refract.ing's communication capabilities.

What does the free ROI audit include?
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We connect to your OfficeMate (read-only), pull 90 days of data, and generate a Recovery Report showing exact dollar amounts for: no-show recovery opportunity, lapsed patient revenue, ERA automation savings, collections improvement, and insurance denial reduction. Takes 20 minutes. Zero obligation.

Can I cancel anytime?
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Yes. Month-to-month billing with no long-term contracts. Early access pricing is locked in for 12 months at 50% off but you can cancel any month. Plus a 30-day money-back guarantee — if you don't see measurable results in the first 30 days, full refund.

See Your Recovery
Opportunity Before You Commit.

We analyze 90 days of your practice data and show you exactly what refract.ing would recover — in dollars, before you spend a cent. No pitch. No pressure. Just the numbers.

5,300+
Patients Synced
76+
Live AI Services
22%
No-Show Recovery
$0
Audit Cost

Request Your Free Audit

We'll reach out within 1 business day.

No obligation. No credit card. HIPAA-safe read-only access.

You're on the list!

We'll reach out within 1 business day to schedule your free ROI audit. Check your inbox for a confirmation.