PROVIDERS    MEMBERS

                                     

 
 


With many providers locations across the nation, Eye Specialists has the ability to create a cost effective Ophthalmology network or manage your existing Ophthalmology network.

Eye Specialists has the skill to re-contract with your existing provider network in a smooth and cost effective manner. We would manage the network utilizing our HIPAA compliant internet claims processing system that ensures accurate and timely payment of the providers. Eye Specialist's Quality Assurance program is NCQA certified and has standing Credentialling, Peer Review, and Utilization Management committees.

Eye Specialists provides customized plan administration of Commercial, Medicare, and Medicaid managed Ophthalmology and Optometry services to our numerous managed care and insurance clients and their members. We would utilize our sophisticated data management system to provide you with detailed reports that would give you insights into your provider's practice patterns.

We also provide some additional features that would be beneficial to Insurance Companies. Some of these features are:

  • New provider applicant credentialling
  • Biennial provider re-credentialling
  • Member satisfaction surveys
  • Service delivery studies

 

 
 
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