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PROVIDERS

WELCOME to OptiCare's virtual office. If you are an existing OptiCare provider who has already reserved secure access to OptiCare's Online Eye Health Manager, just select Eye Health Manager Login and you can get right down to business.

If you are an existing OptiCare provider and would like to join the growing number of eye care professionals taking advantage of the many tasks that can be performed on-line, including: claims submissions, claims status research, viewing member benefits and viewing medical authorization status, just select "Request Login for OptiCare's Online Eye Health Manager" on the Forms page.

If you would like to become an OptiCare provider, please complete the Panel Participation Request Form (click here to download form) and return it to the Network Development Department at toll-free fax number (800) 980-4002. 

OptiCare participates with The Council for Affordable Quality HealthCare (CAQH)'s Universal Credentialing Datasource, empowering providers to submit their credentialing information one time to fulfill credentialing requirements with many payers.  Your request for participation will be reviewed by the Network Development Department.  If approved, OptiCare's Credentialing Department will nominate you to be rostered to CAQH.  You will be contacted by CAQH to complete the necessary documents for credentialing. Should you have any questions regarding CAQH and its processes, please contact CAQH at www.caqh.org/cred or (888) 599-1771.

OptiCare's Provider Affairs Department has an "open door policy" and is happy to answer any provider-related questions that may arise. Visit the Contact Us page to get email addresses and the phone number of our Provider Relations Department.

TVHP/OptiCare NPI Implementation Strategy

The final rule establishing the National Provider Identifier (NPI) as the unique health identifier was adopted on May 23, 2005. The NPI is a unique 10-digit alpha/numeric value that is being assigned by the National Plan and Provider Enumeration System (NPPES), under contract with Centers for Medicare and Medicaid Services (CMS). It is accommodated in all standard transactions, does not expire, and will replace the multitude of Health Plan Provider ID numbers that a provider currently maintains.

As an organization, we plan to begin accepting your NPI in addition to your OptiCare Provider ID as of January 1, 2007. Please note you must still use your OptiCare Provider ID number when submitting claims electronically.

Opticare Managed Vision /AECC Total Vision Health Plan of Texas, Inc providers should be prepared to use the NPI exclusively for all electronic claim transmissions by the federally mandated compliance date of May 22, 2007.

For more information about the NPI number, as well as how to apply, please click on the link below.
http://www.cms.hhs.gov/NationalProvIdentStand/