Coventry Health Care of Virginia, Coventry Health Care of West Virginia, Coventry Health and Life Insurance Company
Authorizations
Authorizations for all Coventry Health Care and Coventry Health and Life Insurance Company patients are valid for 15 days only.
Member ID Numbers & ID Cards
Coventry Health Care and Coventry Health and Life Insurance Company employees do not use Social Security Numbers (SSN) for patient identification. Member ID cards show the unique 11-digit identification numbers that are issued by Coventry Health Care and Coventry Health and Life Insurance Company.
Sample ID cards:
VSP Savings Statement
Coventry Health Care and Coventry Health and Life Insurance Company patients cannot receive the automated VSP Savings Statement.
Contact Lens Services
For NBS Comment Codes: D619, D620, D621, D622, and D624
The patient is eligible to receive a covered in full contact lens exam (fitting and evaluation) after applicable copay. Please bill your U&C fees.
For NBS Comment Code: D623
Important!
The contact lens material code must be billed with the fitting and evaluation code to ensure payment. If materials are not dispensed at the time of the fitting and evaluation, bill the contact lens material HCPCS that the patient is being fitted for with a $0 amount.
Based on the type of contact lenses prescribed:
|
Specialty Contact Lenses |
Non-Specialty Contact Lenses |
|
V2501—Hard/PMMA, toric or prism ballast |
V2500—Hard/PMMA, spherical |
|
V2502—Hard/PMMA, bifocal |
V2510—Gas permeable, spherical |
|
V2503—Hard/PMMA, color vision deficiency |
V2513—Gas permeable, extended wear |
|
V2511—Gas permeable, toric, prism ballast |
V2520—Soft/hydrophilic, spherical |
|
V2512—Gas permeable, bifocal |
V2523—Soft/hydrophilic, extended wear |
|
V2521—Soft/hydrophilic, toric or prism ballast |
|
|
V2522—Soft/hydrophilic, bifocal |
|
|
V2530—Scleral, gas impermeable per lens |
|
|
V2531—Scleral, gas permeable |
|
|
V2599—Other |