As you know, eye exams are an important part of the care continuum for patients with diabetes. That’s why we require network providers to provide a summary of clinical findings to these patients’ primary care doctors.
Some health plan clients, including Humana, conduct audits to ensure these reports are completed, especially for their Medicare population.
You can identify these members by their ID cards.
To make it easy for you, we provide a form you can use to summarize the eye exam for the PCP. Or, you can use one of your own. Just be sure to complete this important task for your patients who have diabetes.