Updates

Vision through a door of an optometrist talking to a patient in a clinic
High HEDIS scores indicate quality care delivery, which can lead to increased reimbursement, and more.
Tablet, optician and vision with a man optometrist doing research in his office for an eye exam or test. Healthcare, internet and optometry with a male eyecare professional at work for eyesight
Using CPT code 99499 enables providers to submit all documented encounter diagnosis codes.
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We will be continuing to refresh provider inventory throughout 2025 to ensure offices have the latest and greatest frames available.
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Here are this quarter's press releases, resources, and news mentions.
Low resolution screenshot of the Prohibition on Billing Qualified Medicare Beneficiaries document
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.
Female optometrist holding eyeglasses
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.
Medical professionals talking while sitting at a table
Updated prior authorization forms are now available.
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While CPTII codes are not required for reimbursement, they CAN benefit your practice and your patients. Here’s how.
Exclusive Collection tower of eyeglasses
Learn about the latest updates to the Exclusive Collection.
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Save on frames monthly! View this month's latest promotion.

View the Provider Manuals on the Portal
Provider manuals can be found in the portal under Resources – Reference Tools.

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