Being a leader in medical eye care administration is the direct result of OptiCare's extensive knowledge base and our willingness to invest in the development of systems that put that knowledge to work in a practical way for you. One of the hallmarks of our medical management program is minimizing pre-authorization requirements. By utilizing provider contracts that pre-define correct billing guidelines for those services not requiring pre-notification, we have eliminated a great deal of administrative time, which translates to dollars saved.

OptiCare has unsurpassed experience in the review and analysis of eye care specific utilization patterns and claims processing factors that can result in identification of fraud and abuse. OptiCare follows CMS (formerly HCFA), CCI, AAO, NOC and NCQA guidelines. By using systems that apply proprietary eye care claims analysis techniques in either a retrospective or prospective assessment, OptiCare can identify areas where savings opportunities exist.

Before entering into a medical surgical capitation arrangement with a health plan, OptiCare will seek to perform an extensive review of current patterns of utilization, current network make up and other claims related data. This will permit OptiCare to offer programs that will truly make a difference in how your medical eye care dollars are allocated.

To request more information on OptiCare's medical/surgical eye care programs contact: Sales@OptiCare.net.