Eye care professional portal · 2020. 7. 31. · The Eye Care Professionals Portal has a wide range...

Getting Started Guide

Eye care professional

portal

Key featuresUsing this portal, you can:

• Verifymembereligibilityandbenefits,andsubmitserviceclaims• Submitordersforframes,lenses,lensoptions,andcontactlenses• Reviewmember,orderandclaimhistory• Gettraining,announcements,benefitalerts,andVersantHealthforms• Createyourownprofileandsetupyourpreferredlabregistrationaccounts

Logging in1. ClicktheEyeCareProfessionalPortallinkandcreateanewaccount.Seethe

Pre-registrationvideoortheComprehensivePortalGuideforinstructions.

2. Loginusingyournewcredentials,chooseyourdefaultlocation,andaddyournewlabregistrations.Then,youcanaccessthePortalDashboard.

Your new Eye Care

Professional Portal

streamlines your ability

to provide high quality

frames and lenses to your

patients who are Versant

Health members! Review

these instructions to get

started using this exciting

new program!

Look up eligibility and benefit information

1. FromtheDashboard,choosethedate and Member information in thefieldsprovided.ClickSearch.

2. Ifthememberyousearchedfordoesnotparticipateinyourparticularnetwork,youwillberequiredtochooseadifferentpractitionerwhoacceptsthatmember’sbenefits.Thenclickthebuttontoselectthemember.

Complete the Member Search Fields

Be sure the practitioner accepts the member’s benefits

Review the Member Benefits Messages

3. ClicktheView Detailed Benefits buttonbesidetheMember’snameintheresultslist.TheMember Eligibility information displays.

Submitting a claimSubmit a claim to get paid for services (exams, contact lens fitting and follow ups, or medical optometry/medical surgical).

Select the Services (Exam Only)

Be sure the practitioner accepts the member’s benefits

2. IntheExamtab,entertheExamdetailsforthevisitandclickNext.TheClaimstabdisplays.

1. FromtheMemberEligibilityInformationpage,clicktheservicesyouareperformingandclickClaim.TheExamorServicestabdisplays.

Enter the Claims Details

4. IntheReview & Submittab,reviewtheclaimdetailsandclickSubmit Claim.

3. IntheClaimstab,entertheclaimdetailsforthevisitandclickNext.TheReview&Submittabdisplays.

Submitting an order

Select the Service and Materials (Exam and Materials) Types

Select the Eyewear Details

1. FromtheMemberEligibilityInformationpage,clicktheexamand/ormaterialsandclickOrders/Claims.TheExamtabdisplays.

2. IntheExamtab,entertheexamdetailsforthevisitandclickNext.TheEyeweartabdisplays.

3. IntheEyeweartab,entertheprescription,frame,lens,andoptiondetailsfortheorder.ThenclickNext.

4. IntheClaimstab,entertheservicesinformationassociatedwiththeorder.ThenclickNext.

Order Received by the Labs

Review the Office Orders History

5. Inthe Review & Submit tab,reviewtheorderdetailsandclickSubmit Order. TheOrderSummarypagedisplayswiththeLab Reference Number.

1. FromtheDashboard,clickView Orders / Claims.

Viewing office order and claim history

?

Order Received by the Labs

Member Orders and Claims History

Viewing member order history

1. FromtheDashboard,searchfortheMemberasdescribedabove.

2. OntheMemberEligibilityandBenefitInformationpage,clicktheOrder Historyicon .

Need more help?ForhelpwiththeEyeCareProfessionalsPortalcall:1-877-235-5316(DavisVision)1-877-235-5317(SuperiorVision)

Getting additional program resourcesTheEyeCareProfessionalsPortalhasawiderangeofresourcestosupportyouinyourbusiness,includinginusingtheportal,(trainingvideos,FAQs,andbenefitalertchanges),frequentlyusedforms,medicalmanagementpolicyinformation,plussystemandorganizationannouncements!SeetheVersantHealthTrainingHubformoreinformationatversanthealth.com/training.