This guide contains helpful websites, email addresses, and phone numbers.
Table of Contents: Guides, Formularies, Medical Policy Updates, Miscellaneous Policies
Portal Guides, Policies, and Formularies
Guides
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Keep your Davis Vision® Exclusive Collection inventory fresh with an inventory event! Read on to see how you can help your inventory event go smoothly.
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This guide is for providers serving members enrolled in Davis Vision and Superior Vision benefit plans.
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This guide is for retail providers serving members enrolled in Davis Vision and Superior Vision benefit plans.
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Use this guide to learn how to locate Eyezen lenses on the portal.
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Your new Provider Portal streamlines your ability to provide high quality frames and lenses to your patients who are Versant Health members! Review these instructions to get started using this exciting program!
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The following information answers the most common questions asked surrounding Versant Health’s eyewear dispensing program and portal.
Formularies
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Eye care professionals who care for our members who receive Medicaid benefits may choose from a wide variety of frames styles, sizes and colors. This download is a pictorial guide of those frames, including SKU numbers. All frames pictured are available in the Versant Health eye care professional portal.
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Our customized prescription safety frames are high-quality eyewear designed to meet the function and safety needs of your Davis Vision patients.
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With the Exclusive Collection of Contact Lenses, some plans offer fully-covered lenses and contact lens services.
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With the Exclusive Collection of Contact Lenses, some plans offer fully-covered lenses and contact lens services.
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We are pleased to present the formulary associated with our eyewear dispensing program.
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We are pleased to present the private label formulary associated with our eyewear dispensing program.
Medical Policy Updates
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Join Neelam Gor for the May 2023 policy updates.
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Join Mark Ruchman for the October 2022 policy updates.
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Join Mark Ruchman, our Chief Medical Officer, for the August 2022 policy updates.
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Join Mark Ruchman, our Chief Medical Officer, for the February 2022 policy updates.
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Join Mark Ruchman, our Chief Medical Officer, for the February 2022 policy updates.
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The following policies have been added or updated with effective dates as noted.
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Join Mark Ruchman, our Chief Medical Officer, for the August 2021 policy updates.
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Join Mark Ruchman, our Chief Medical Officer, for the June 2021 policy updates.
Miscellaneous Policies
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Purpose: To afford Commercial providers (contracted and non-contracted) with an internal process in which to address and resolve dissatisfaction complaints. // Scope: All participating and non-participating Commercial provider administrative disputes in New Mexico.
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Purpose: To afford providers (participating and non-participating) with an internal payment dispute process for requests for review of payment and denial of payment determinations other than those based upon utilization management determinations. // Scope: All participating and non-participating provider disputes associated with commercial plans in New Mexico.
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To facilitate a quick resolution, please use this form which can be applied to both Davis Vision and Superior Vision. Complete this form if you are seeking reconsideration of a previous billing determination.
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The policies outlined in this download ensure that your Versant Health orders have the proper remake and warranty coverage.
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The policies outlined below ensure that your Versant Health ECP orders have the proper Medicaid remake and warranty coverage.