iTRUST Case Study – Large Multi-State Group Migration
How Multi-Location Groups Upgrade From Rev to iTRUST for Faster Reporting & Seamless Scaling
Overview
A large, multi-state eye-care group transitioned from Rev after years of slow development timelines, expensive custom reporting, and inconsistent workflows across their network. With dozens of providers and locations, they needed a platform that was ready out of the box, required far less customization, and could support rapid integrations without disrupting clinical operations.
⚡ Challenge

Before switching, the group faced:
1. Reporting That Required Constant Custom Development
The group relied heavily on custom-built dashboards just to track basic KPIs. That meant:
- Long turnaround times
- High fees
- Version mismatches across locations
- Manual spreadsheets filling in the gaps
Leadership could not get a unified, real-time view of performance across states.
2. Slow Enhancements That Delayed Growth
Any workflow change — clinical, billing, optical, scheduling — required long vendor wait times. Even small adjustments took months, which slowed down:
- Standardizing operations
- Opening new locations
- Training new staff
- Improving patient flow
3. Fragmented Workflows Across the Network
Because the system wasn’t built for multi-location scale, the group dealt with:
- Repeated data entry
- Slower clinic workflows
- Claims issues due to inconsistent processes
- Difficulty training teams across different regions
They needed something cleaner, faster, and more scalable.
🚀 iTRUST Solution
iTRUST replaced Rev with a unified platform built to support multi-location, multi-state organizations.

1. Out-of-the-Box Reporting
iTRUST includes 80+ built-in reports covering:
- Revenue
- Provider productivity
- Optical KPIs
- Capture rate
- Insurance aging
- Growth trends
- Location-level performance
No custom development. No delays.
Everything was available immediately.
2. Fast, Efficient Custom Integrations
When customizations were needed, iTRUST delivered them:
- In days or weeks, not months
- With clear timelines and zero-downtime deployments
- Fully aligned with each location’s operational flow
The group integrated labs, inventory vendors, billing pipelines, and HR systems in just over a month.
3. Unified Workflows That Reduce Training Time
iTRUST streamlined operations across all states:
- Faster charting
- Cleaner optical checkout
- Billing directly tied to clinical data
- More accurate claims
- A single workflow for all locations
New staff trained 40–60% faster because the system was consistent everywhere.
📈 Results Within 90 Days

- Zero downtime during go-live
- 60–70% reduction in reporting and customization costs
- Real-time dashboards for all locations
- 12–18% faster insurance turnaround
- More accurate data across the network
- Reduced workload for staff and managers
- Stronger operational consistency across states
The organization finally had a system that kept up with their growth.
💡 Why This Case Study Works for Any Large Multi-State Group
Any group managing multiple states, clinics, and providers understands the pain of:
- Slow custom development
- High reporting costs
- Inconsistent workflows
- Difficulty opening new locations
- Lack of real-time visibility
iTRUST solves all of that with speed, clarity, and built-in capabilities that require far less customization.