Disclaimer: Versant Health, Inc.’s and each of its subsidiaries’ (together, “Versant Health’s”) policies and procedures (“P&Ps”) are confidential and proprietary, and are subject to change at any time. These P&Ps are not all-inclusive, but contains general information that applies to many, but not all, employer group health plans administered by Versant. Versant Health’s P&Ps provide important information for its in-network eyecare providers and are contractually binding for compliance, based on each provider’s agreement. These P&Ps are internal guidelines relating to Versant Health’s role as an administrator for payors of vision benefit claims. These P&Ps are not intended to dictate medical care decisions, and they do not and should not be interpreted as a substitute or replacement for a treating physician’s prudent clinical judgment at the time vision services are delivered to a patient.
For questions pertaining our legal policies, please email firstname.lastname@example.org.
- Clinical Policy 1309 Medically Necessary Contact Lenses Effective 1.1.24
- Clinical Policy 1309 Medically Necessary Contact Lenses Effective 1.1.24 Spanish
- Clinical Policy 1310 Refraction effective 4.2024
- Clinical Policy 1310 Refraction effective 4.2024 Spanish
- Clinical Policy 1316 Eye Exams effective 6.2023
- Clinical Policy 1316 Eye Exams effective 6.2023 Spanish
- Clinical Policy 1330 Specialty Spectacle Lenses effective 8.2023
- Clinical Policy 1330 Specialty Spectacle Lenses effective 8.2023 Spanish
- Clinical Policy 1336 Telemedicine Effective 10.2023
- Clinical Policy 1336 Telemedicine Effective 10.2023 Spanish
- 455A.02 Texas Consistency of Application of Clinical Criteria
- 456A.02 Texas Clinical Criteria for Utilization Management
- 483A.01 TX HMO Notification of Non-Behavioral Health UM Determinations
- Utilization Management Information
- Prior Authorization Request FAQs
- Click here to view the utilization management program for Davis Vision in accordance with the Health Claims Authorization, Processing and Payment Act (HCAPP).
- Click here to view the provider complaint process for the state of Texas.
- Click here to view the provider appeal process for the state of Texas.
- Click here to view the provider claim appeal / reconsideration form for eye care professionals in Texas.
- Illinois 2023 Annual Utilization Statistics
- Georgia 2023 Annual Utilization Statistics
Information provided by this service resides on a computer system funded by Davis Vision, Inc. Anyone using this system consents to the monitoring of this use by system, security or law enforcement personnel. Nothing on this website or mobile application is intended, nor should it be construed, as professional advice. Those reviewing the information should consult with a qualified professional.
Davis Vision does not accept or display any advertisements on this website or mobile application.
Disclaimer of liability
With respect to documents available from this service, neither Davis Vision, Inc. nor any of its associates, makes any warranty, express or implied, including the warranties of merchantability and fitness for a particular purpose, or assumes any legal liability or responsibility for the accuracy, completeness, or usefulness of any information, apparatus, product, or process disclosed, or represents that its use would not infringe on privately owned rights.
Disclaimer of endorsement
Reference herein to any specific products, process, or service by trade name, trademark, manufacturer, or otherwise, does not necessarily constitute or imply its endorsement, recommendation, of favoring by Davis Vision. The views and opinions of authors expressed herein do not necessarily state or reflect those of Davis Vision, and shall not be used for advertising or product endorsement purposes. Davis Vision is not responsible for the contents of any off-site pages referenced.
Diversity statement of good faith
The Davis Vision supplier diversity program is a good faith sourcing effort designed to match qualified diverse suppliers with the needs of our internal business partners, create business opportunities for diverse suppliers to support Davis Vision, and build long-term business relationships with individuals that are reflective of our communities.
Davis Vision seeks to provide opportunities to qualified diverse suppliers, including minority-owned, woman-owned, historically underutilized business zone (HUBZone), service-disabled veteran-owned, veteran-owned, small businesses and other disadvantaged business enterprises in the communities in which we operate and serve.
Davis Vision has provided partnership opportunities for diverse suppliers in the following areas, including, but not limited to:
- Office supplies
- Printing services
- Professional / consulting services
- Facility services
- Promotional products
- Temporary staffing
For the year 2017, Davis Vision spent over $1.25M with diversity suppliers, representing an 8% year over year growth rate, which has been consistent from 2012-2017. Additionally our affiliate company, Superior Vision, Inc also promotes supplier diversity through a similar good faith effort to support and contract with diversity suppliers in the markets where we operate.
Copyright and other intellectual property status
All documents available from this service may be protected under the U.S. and Foreign Copyright Laws. Permission to reproduce may be required. Davis Vision retains all rights to the information provided by this service, including but not limited to, the right of distribution.
The name Davis Vision and its registered logo(s), service mark(s), and trademark(s) may not be used in any advertising or publicity without the prior explicit written permission of Davis Vision, Inc.
Limitation of jurisdiction
By accessing, transmitting or viewing any information on this home page or within this website, you agree to be subject to personal jurisdiction in the State of New York. Any transaction or occurrence arising out of accessing, transmitting or viewing any information on this home page shall be judged in accordance with the laws of the State of New York.
Not a substitute
Links and content provided on this website and mobile application are provided for convenience and informational purposes only. The information is in no way a substitute for medical advice and treatment from one’s eye health professional or other health care provider. If you have specific needs or questions about vision, vision problems, or symptoms that may require medical attention please consult a professional.
For more information
For more information about Davis Vision, Inc., please contact our corporate headquarters:
881 Elkridge Landing Road, Suite 300
Linthicum, MD 21090
The Office of Inspector General (OIG) protects the integrity of Department of Health & Human Services (HHS) programs as well as the health and welfare of program beneficiaries.
To learn more about OIG and how they protect against waste, fraud, and abuse, please review the brochure below.
Please note: The below file is posted in PDF format. To view and print these documents, you will need Adobe Acrobat Reader, a free download which is available by clicking here.
Purpose of the Site
The Site provides information and a number of different services as offered by Davis Vision, Inc. By using the Site, you acknowledge that Davis Vision disclaims any responsibility for or liability related to your use of the Site. This website and mobile application is owned wholly by Davis Vision, Inc. Additional information to include but not limited to Notification of Claimed Copyright Infringement, Copyright Complaints and Counter-Notification Procedures may be directed to the following:
Davis Vision, Inc. c/o Executive Web Team
175 East Houston Street
San Antonio, TX 78205
Use of Material
The contents of the Website are protected by copyright. Unauthorized use may violate copyright, trademark, and other laws. Davis Vision authorizes you to view and download materials on the Website solely for your own use. All copyright and other proprietary notices must be maintained on any copies you make. Davis Vision does not authorize you to sell, modify, or otherwise use the Website for any public or commercial purposes without the prior written permission of Davis Vision or as otherwise expressly permitted herein.
The Website may not be used in violation of any laws or otherwise proscribed manner, including without limitation, those pertaining to the fraud and abuse or anti-kickback provisions of federal and state Medicare, Medicaid, and insurance laws.
You acknowledge and agree that Davis Vision may terminate your access privileges without notice to you for any reason, including without limitation: (a) illegal use of the Website and (b) action otherwise found objectionable by Davis Vision.
Links and references to third party websites are not endorsement of such products, services, or contents and are not intended to result in any referrals or compensation to you or Davis Vision.
This Website Does Not Provide Medical Advice
Davis Vision makes the Website available for the sole purpose of providing general education information on health and vision related issues and providing access to such resources. The Website and its health and vision related information and resources are not intended to be a substitute for professional medical advice or for the care that patients receive from their health care providers. Nothing in this site is intended to be used for medical diagnosis or treatment nor does Davis Vision recommend or endorse the information mentioned on this Website. The Website and its health and vision related information are not intended, and must not be taken, to be the rendering of medical or processional health advice or services, or the practice of medicine, optometry, or any other professional health care.
Always seek the advice of your health care provider before beginning any treatment or if you have any questions regarding a medical and/or ocular condition. You should not disregard medical advice, or delay seeking medical advice, because of something you read in this Website. If you think you may have a medical emergency, call your health care provider or 911 immediately.
The Website is not intended or designed to attract children under the age of 13. Davis Vision does not collect Personally Identifiable Information (PII) from any person we know is under the age of 13. Some of the content on this Website may not be appropriate for children. Parents or guardians are solely responsible for providing supervision of minors’ use of this Website.
Collection of Personal and Personally-Identifiable Information (PII)
If you are, or choose to become, a Subscriber/Member, your enrollment serves as an express opt-in, giving affirmative consent to participate in any activity or function of the Website. Such consent shall last the entire duration of your subscription to Davis Vision products.
When accessing the Member website, minimal Personally-Identifiable Information is collected. To register for access, you must supply the Member’s unique identification number, the Member’s last name and the Member’s date of birth. To access certain areas of the Member website after log in, personally identifiable information is required, specifically the user’s date of birth and first name. This information is collected as a means of authenticating and identifying the Subscriber/Member to allow access to the available information and services on the Member website.
The Personally Identifiable Information collected by Davis Vision is used solely for the purpose of providing vision care products and services to you, unless otherwise granted express permission by you to use the information for additional purposes.
Failure to opt-in or provide the required minimum Personally-Identifiable Information results in the inability to access certain non-public contents (e.g. Member website, etc.).
Davis Vision already has access to the information collected and compares the information on the DavisVision enrollment files to the information presented by the user to verify membership and authenticate the user. If disclosures of any personal information are made outside of this authentication and verification process, the information is not required and the user may choose to omit the information.
Members may opt-out of providing such information, at their discretion, by either foregoing use of the Member website or by ceasing subscription to Davis Vision products.
Personal Health Information (PHI)
Davis Vision does not collect your Personal Health Information through this Website and discourages you from submitting any material information considered the same. In the event of your voluntary submission of Personal Health Information, Davis Vision safeguards such data in accordance with all applicable state and federal privacy laws, including the Health Information Portability and Accountability Act (HIPAA) and the HITECH Act, as amended, and any implementing regulation.
Davis Vision retains data for 10 years, in which time the data is then purged.
User Submissions in Public Areas
Information submitted by you in public areas of this Website is only used by Davis Vision representatives. Submission of any information via such means automatically grants Davis Vision an exclusive, perpetual license to retain such information. Davis Vision does not disclose such information to any third parties.
Use of Information Collected
Davis Vision will not use previously obtained information for purposes not addressed under the scope of existing policy.
Liability of Davis Vision and its Licensors
The use of this Website and its contents is at your own risk.
With respect to documents available from this server, neither Davis Vision nor any of its employees makes any warranty, express or implied, including the warranties or merchantability and fitness for a particular purpose, or assumes any legal liability or responsibility for the accuracy, completeness, or usefulness of any information, apparatus, product, or process disclosed, or represents that its use would not infringe privately owned rights. You expressly agree that use of this Website is at your own risk. Davis Vision shall not be responsible to you for any content found on this Website, nor does Davis Vision make any warranty as to the results that may be obtained from the use of this Website or to the accuracy or reliability of any information obtained through this Website. No advice or information, whether oral or written, obtained by you from the Website shall create any warranty.
You understand and agree that any content downloaded or otherwise obtained through the use of this Website is done at your own discretion and risk and that you will be solely responsible for any damages to your computer system or loss of data that results in the download of such content.
Use of this Website shall constitute your express agreement that exclusive jurisdiction for any dispute with Davis Vision, or in any way relating to your use of this Website, resides in the courts of the State of New York, and you further agree and expressly consent to the exercise of personal jurisdiction in the courts of the State of New York in connection with any such dispute including any claim involving Davis Vision or its affiliates, subsidiaries, employees, contractors, officers, directors, and content providers.