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Provider FAQs

What are the benefits of becoming a Davis Vision provider?
Davis Vision provides vision coverage to over 22 million members throughout the nation, and only the most qualified doctors are members of our Preferred Provider Organization. Joining the Davis Vision network offers an outstanding opportunity to grow your practice by providing vision care services to our members.

The following benefits and advantages of becoming a Davis Vision provider are designed to improve your profitability and practice in an ever-changing health care environment.

  • Increased patient base
  • Superior quality through state-of-the-art laboratory facilities
  • Deep discounts on ophthalmic materials through the Davis Vision Excel Advantage™
  • Electronic claim submission
  • Timely and accurate payments
  • Provider newsletters
  • Provider Recognition Program

To learn more about your network advantage as a Davis Vision Provider, please call us at 1-800-584-3140, or click here and follow the online instructions.

What types of vision plans do you offer?
Please click here to learn more about Davis Vision's products and services.

Is there a fee to join the Davis Vision network?
Providers pay no fee to join our network, nor are any fees withheld for continued participation.

How do I apply to become a Davis Vision provider? How long does the process take?
If you are interested in joining the Davis Vision network of providers, please click the "Apply to become a Davis Vision Provider" link below and follow the online instructions.

" Apply to become a Davis Vision Provider"
You may also contact us at 1-800-584-3140 to request an application. Submit the completed application and all requested paperwork. The process of contracting and credentialing a new provider includes source verification and validation of provider qualifications and are performed on all applications, per Davis Vision’s NCQA-certified credentialing process. The process of contracting with a new provider is usually completed in 90 days or less.

What is the credentialing and recredentialing process for network practitioners?
Davis Vision’s selection of the most qualified ophthalmologists and optometrists in our network is accomplished through an extensive NCQA-certified credentialing process. All optometrists must be at TPA level licensure. Credentialing staff members collect, validate and submit all history and quality data for review by the Credentialing Committee. Source verification of education, licensure, board certification and DEA registration (where applicable) is obtained and the National Practitioner Data Bank is queried for all applicants. The Credentialing Committee conducts an assessment of each provider’s credentials based upon pre-established guidelines of the professional qualifications and office qualifications deemed necessary to provide quality patient care.

The credentialing and recredentialing of providers is ongoing to ensure the quality of care provided by our network providers. Recredentialing, conducted every three years, is based on a review of updated documentation, (licensure, National Practitioner Data Bank inquiry, malpractice history, etc.), as well as reports generated through the patient satisfaction feedback mechanism and Davis Vision’s Quality Assurance Program, including site visits.

What is the Excel Advantage™ program?
Davis Vision’s Excel Advantage™ program offers network providers the opportunity to purchase frames and safety frames at significant discounts. Davis Vision's exclusive Frame Collection is provided to network providers at no cost, and is designed for use as an extension of their own frame inventory. With our Excel Advantage program, providers can purchase additional Collection frames for their private patients, saving on the cost of additional inventory.

What are the program benefits for my practice?
The Excel Advantage program provides an opportunity to offer your private patients an additional 200+ frames from which to choose.

Save Time
Orders can be placed at the same time as managed care orders, saving valuable time.

Increase Profits
Save up to 40% off list price for all Excel Advantage products.

Frame Return Policy
Any frame may be returned for replacement within one year, as long as it's accompanied by its original invoice number. Frames can be returned for a full refund within 60 days of purchase.

What are the costs for shipping?
Excel Advantage frame orders are never subject to additional shipping charges. Order one frame, or 100. There are no minimum order requirements. Order as you need them. No need to tie up your money in standing inventory. Orders usually ship within 48 hours.

I am not a Davis Vision provider. Can I participate in the Excel Advantage program?
The Excel Advantage program is available only to participating network providers.

What is your position on Telehealth Services?
Davis Vision/Superior Vision support telehealth services to improve access and quality of care while reducing costs.  Click here to read the position statement

What are your criteria for building and maintaining the Davis Vision network?
Recruiting efforts may include mailing provider applications and recruitment materials with telephone or email communications. Names and addresses of potential practitioners and providers may be drawn from, but not limited to, the following sources:

  • State Boards of Optometry
  • State Optometric Associations
  • State Licensing Boards
  • Professional Directories
  • Internet searches by medical occupation
  • Counsel for Affordable Quality Healthcare (CAQG) database
  • The Blue Book of Optometrists
  • Databases maintained by Davis Vision
  • Client or member recommendations

When expedited provider recruitment is necessary (particularly to prevent an interruption of patient care), a provider recruitment associate may telephone a practitioner directly and encourage the practitioner to submit an application. The associate would typically:

  • Describe Davis Vision's role as an administrator of vision care plans and specify the potential client groups that the practitioner would serve.
  • Explain how the Davis Vision plan is administered and provide details on fees and reimbursement schedules.
  • Obtain minimal information about the practitioner's experience and qualifications. If both meet Davis Vision's screening criteria, the representative would encourage the potential practitioner to complete and return an application. The representative will briefly describe the credentialing process.
  • Conclude the conversation by stressing the benefits of participating in the Davis Vision network and the expectation that it will be a mutually satisfying relationship.

Criteria for recruitment decisions
Recruitment decisions are not based upon race, ethnicity, gender, age or sexual orientation. Davis Vision does not charge practitioners any membership or administrative fees, nor is any portion of schedule payment withheld. Davis Vision does not discriminate against providers that serve high-risk populations or specialize in conditions that require costly treatment.

Recruitment decisions are made solely on the basis of a practitioner's qualifications, quality of care, and geographic need of the network. Oversaturation is avoided to ensure each practitioner an adequate share of the market.

Does Davis Vision disclose the existence and availability of its network access plans for each of its health benefit plans?
Yes. Should you wish to receive a state or health plan specific network access plan, please contact Davis Vision professional relations at 1 (800) 77DAVIS / 1 (800) 773-2847.

More questions? Feel free to contact us at 1-800-584-3140.

Important Information for All Providers