All Medicare providers and suppliers, including pharmacies, must not bill Medicare beneficiaries in the Qualified Medicare Beneficiary (QMB) eligibility group for Medicare Part A or Part B cost-sharing. This includes Medicare Part A and Part B deductibles, coinsurance, and copayments.
We recognize the critical role that an accurate provider directory plays in driving member experience and overall quality of vision care. An accurate provider directory allows patients to make informed decisions about their vision care choices and makes it easier to find the right providers within their vision plan.
Updated prior authorization forms are now available.
While CPTII codes are not required for reimbursement, they CAN benefit your practice and your patients. Here’s how.
Learn about the latest updates to the Exclusive Collection.
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As part of our ongoing efforts to improve our operational efficiencies, we are consolidating a variety of mailing addresses. To ensure prompt payment of paper claims or response to your communications, please take note of the changes below.
Welcome to the cultural competency in health care annual compliance training.
The Centers for Medicare & Medicaid Services (CMS) mandates all contracted providers receive basic Special Needs Plans (SNP) Model of Care training.
To ensure patients with evidence of retinopathy have an eye exam annually, NCQA created the Eye Exam for Patients with Diabetes (EED) measure of HEDIS.
