Supporting Eye Care Professionals

Davis Vision accepts HIPAA compliant 270/271 transactions. For providers requiring support on directions on how to submit a claim electronically and options, please call Customer Service at: 1 (877) 235-5316

Visit the forms page on the Provider Resource Center.

Davis Vision provides vision coverage to over 22 million members throughout the nation, and only the most qualified doctors are members of our preferred eye care professional organization. Joining the Davis Vision network offers an outstanding opportunity to grow your practice by providing vision care services to our members.

The following benefits and advantages of becoming a Davis Vision eye care professional are designed to improve your profitability and practice in an ever-changing health care environment.

• Increased patient base
• Superior quality through state-of-the-art laboratory facilities
• Deep discounts on ophthalmic materials through the Davis Vision Excel Advantage™ program
• Electronic claim submission
• Timely and accurate payments
• Eye care professional newsletters
• Eye care professional recognition program

To learn more about your network advantage as a Davis Vision eye care professional, please call us at 1 (800) 584-3140 (Monday – Friday: 8 a.m. to 6 p.m. eastern time), or click here and follow the online instructions.

Our vision care plans offer low out-of-pocket costs and access to a large network of eye care professionals.

• Low-cost options for both you and your employees
• Over 152,000 nationwide points of access
• All calls and claims administered in the U.S.
• Fully-covered frames included with every Davis Vision plan
• 4 out of 5 major national retailers are in-network
• 97% member satisfaction with customer service

Eye care professionals pay no fee to join our network, nor are any fees withheld for continued participation.

If you are interested in joining the Davis Vision network of eye care professionals, please click here and follow the online instructions.

You may also contact us at 1 (800) 584-3140 to request an application. Submit the completed application and all requested paperwork. The process of contracting and credentialing a new eye care professional includes source verification and validation of eye care professional qualifications and are performed on all applications, per Davis Vision’s NCQA-certified credentialing process. The process of contracting with a new eye care professional is usually completed in 90 days or less.

Davis Vision’s selection of the most qualified ophthalmologists and optometrists in our network is accomplished through an extensive application and NCQA-certified credentialing process.

Davis Vision collects, validates and submits all documentation, history and quality data for review by the Credentialing Committee. Source verification of education, licensure, board certification and DEA registration (where applicable) is obtained and the National Practitioner Data Bank is queried for all applicants. The Credentialing Committee conducts an assessment of each eye care professional’s credentials based upon pre-established guidelines of professional qualifications and office qualifications deemed necessary to provide quality patient care.

The credentialing and recredentialing of eye care professional is ongoing to ensure to quality of care provided by our network eye care professionals. Recredentialing, conducted every three years, is based on a review of updated documentation (licensure, National Practitioner Data Bank inquiry, malpractice history, etc.), as well as reports generated through the patient satisfaction feedback mechanism and Davis Vision’s Quality Assurance Program, including site visits.

Davis Vision’s Excel Advantage™ program offers eye care professionals the opportunity to purchase frames and safety frames at significant discounts. Davis Vision’s exclusive frame collection is provided to network providers at no cost, and is designed for use as an extension of their own frame inventory. With our Excel Advantage program, providers can purchase additional collection frames for their private patients, saving on the cost of additional inventory.

Other benefits include:

• An additional 200+ frames from which to choose.
• Orders can be placed at the same time as managed care orders, saving valuable time.
• Save up to 40% off list price for all Excel Advantage products.
• Any frame may be returned for replacement within one year, as long as it’s accompanied by its original invoice number. Frames can be returned for a full refund within 60 days of purchase.

Excel Advantage frame orders are never subject to additional shipping charges. Order one frame, or 100. There are no minimum order requirements. Order as you need them. No need to tie up your money in standing inventory. Orders usually ship within 48 hours.

No; the Excel Advantage program is available only to participating eye care professionals.

Davis Vision supports telehealth services to improve access and quality of care while reducing costs.  Click here to read the position statement.

Recruiting efforts may include mailing eye care professional applications and recruitment materials with telephone or email communications. Names and addresses of potential practitioners and eye care professionals may be drawn from, but not limited to, the following sources:

• State Boards of Optometry
• State Optometric Associations
• State Licensing Boards
• Professional Directories
• Internet searches by medical occupation
• Counsel for Affordable Quality Healthcare (CAQG) database
• The Blue Book of Optometrists
• Databases maintained by Davis Vision
• Client or member recommendations

When expedited eye care professional recruitment is necessary (particularly to prevent an interruption of patient care), an eye care professional recruitment associate may telephone a practitioner directly and encourage the practitioner to submit an application. The associate would typically:

• Describe Davis Vision’s role as an administrator of vision care plans and specify the potential client groups that the practitioner would serve.
• Explain how the Davis Vision plan is administered and provide details on fees and reimbursement schedules.
• Obtain minimal information about the practitioner’s experience and qualifications. If both meet Davis Vision’s screening criteria, the representative would encourage the potential practitioner to complete and return an application. The representative will briefly describe the credentialing process.
• Conclude the conversation by stressing the benefits of participating in the Davis Vision network and the expectation that it will be a mutually satisfying relationship.

Criteria for recruitment decisions
Recruitment decisions are not based upon race, ethnicity, gender, age or sexual orientation. Davis Vision does not charge practitioners any membership or administrative fees, nor is any portion of schedule payment withheld. Davis Vision does not discriminate against eye care professionals that serve high-risk populations or specialize in conditions that require costly treatment.

Recruitment decisions are made solely on the basis of a practitioner’s qualifications, quality of care, and geographic need of the network. Oversaturation is avoided to ensure each practitioner an adequate share of the market.

Yes. Should you wish to receive a state or health plan specific network access plan, please contact Davis Vision provder relations at 1 (800) 77DAVIS / 1 (800) 773-2847.

For details, please click here (PDF).