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Note

PROVIDERS

Welcome to the OptiCare Managed Vision Provider homepage for providers participating in the Peach State Health Plan.  We offer a variety of services to our participating providers through our virtual office, Eye Health Manager.  Services available include:  free on-line claim entry system, claim status checks, Explanation of Benefit (EOB) downloads and/or printing, Eligibility and Benefit checks, and on-line prior authorization requests. 

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, just select "Request Login for OptiCare's Online Eye Health Manager" on the Forms page (or simply click here to download this form now).  Simply follow the instructions for completing the form and fax it back to us at (800)980-4002.

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 Customer Relations Department has an "open door policy" and is happy to answer any provider-related questions that may arise.
Want to know more about OptiCare Managed Vision? We'd like to hear from you.

For general information, phone us toll-free at 800-334-3937

Company Street Address
OptiCare Managed Vision
112 Zebulon Court
Rocky Mount, NC 27804

Claims Mailing Address
OptiCare Managed Vision
P.O. Box 7548
Rocky Mount, NC 27804

Network Development
800-531-2818

Provider Relations
866-458-2139

Medical Management
800-368-4345

Credentialing
888-361-9825

For general questions, please email: Provider Answer Remember, please do not put any Personal Health Information (PHI) of patients in your e-mail. Include your phone number in case we need to contact you directly. If you have questions about a specific claim number, please call

1-866-458-2139

For your protection, our privacy policy prevents us from responding to emails containing protected health information (specific information about you and your health care) because we cannot guarantee the security of these e-mails before they reach us. Please contact your customer service representative should you have questions or concerns regarding your eye care services.