Submitting reports and invoices
Using our online portal, My Provider Services, is the easiest way for you to get paid. Please invoice according to our fee schedules. Once you've billed us you can check your payment status online.
- Optometry fee schedule
- Reports and invoices
- Checking your payment status
- Need more information?
- Resources
Optometry fee schedule
Our optometry fee schedule sets out the rates we pay for your services. Only the listed services will be covered.
In general, the practice of “balance billing” (charging injured workers directly for additional costs above our rates for their claim-related injury) is not allowed. However, you can bill the patient directly for any non-claim related services.
To bill us for approved optical devices, please use the fee codes outlined below on your invoice:
| Item Description | Optical Device Fee Code |
|---|---|
| Eye glass frames |
1100702 |
| Eye glass lens |
1100703 |
| Contact lens |
1100242 |
| Safety glasses |
1100245 |
| Eye glass repair |
1139712 |
Reports and invoices
To send us reports, please use the Generic Report - Medical and Health Care (Form 83D51). At the top of the form, you'll find instructions for completing and submitting it to us. Type your information and complete all required sections.
The fastest and easiest way to submit your invoices and supporting documents to us is through My Provider Services. You can also use this online portal to save draft invoices, attach additional documents to your invoice, get confirmation when we receive an invoice, and see status and payment details.
To get started, you’ll need to set up an online services account with us. To learn more, watch this video for instructions on setting up your My Provider Services account.
Contact our Payment Services team with any invoicing questions.
Checking your payment status
The fastest, easiest way to check the status of your invoice is through our online check invoice status tool.
If you need more detailed invoice data, you can use My Provider Services, which allows you to filter invoices by date range, invoice number, or claim number.
Need more information?
We’re here to help. Please contact our Health Care Programs team.
Resources
Optometry Fee Schedule
This document outlines the billable items, along with the dollar amounts and fee codes, to use when submitting your invoice.
Generic Invoice - Medical and Health Care (Form 83D128)
Health care providers can use this form to invoice us for medical and health care.
You can also invoice us using our online portal, My Provider Services. To get started, you’ll...
