Anagram supports multiple vision plans depending on the type of transaction being processed. This article explains which plans are supported and when they can be used.
Overview
Different vision plans may support different transaction types, such as:
Eligibility checks
In-network and/or out-of-network support
Out-of-network claims
The table below summarizes which plans are supported for each transaction type.
Payer | In-network Eligibility | Out-of-network Eligibility | Out-of-network Claims |
VSP | ✅ | ✅ | ✅ |
EyeMed (Blue View, Aetna, Humana) | ✅ | ✅ | ✅ |
Versant (Davis and Superior) | ✅ | ✅ | ✅ |
Spectera (UHC) | ✅ | ✅ | ✅ |
Avesis | ✅ | ✖️ | ✖️ |
VBA | ✅ | ✖️ | ✖️ |
NVA | ✅ | ✖️ | ✖️ |
Envolve | ✅ | ✖️ | ✖️ |
Eligibility Checks
Anagram can verify patient eligibility for supported plans before completing a transaction. This allows practices to confirm:
Active coverage
Benefit allowances
Copays
Remaining benefits
Eligibility checks help ensure accurate claim submission and reduce billing issues.
Out-of-Network Claims
If a practice is not in-network with a patient’s vision plan, Anagram can help generate and submit the out-of-network claims. These claims will require specifying:
Diagnosis codes
Procedure codes
Material codes
Prices, discounts, and other information
Need Help?
If you have questions about vision plan support or encounter issues processing a transaction, contact our support team for assistance.