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Provider FAQs

How do I become a DeltaVision® provider?

If you would like to join the DeltaVision® panel of providers, you will need to complete our credentialing process. We also require all participating providers to complete an application and sign a provider agreement. The entire process usually takes one to three months. To start the application process, send an email to providernetwork@deltavisionmo.com.

Click here to view Questions and Answers regarding the next generation Vision SELECT PLUS FEE SCHEDULE.

Does DeltaVision® accept all provider types?

The DeltaVision® panel includes optometrists, ophthalmologists and opticians. We accept both private practice providers and those affiliated with retail locations.

How often will I be reimbursed?

DeltaVision® reimburses providers weekly. You can check the status of a claim payment at any time through the Provider Resources section.

How often will I be recredentialed?

DeltaVision® recredentials providers at least every 36 months in accordance with National Committee for Quality Assurance (NCQA) guidelines. Random audits are conducted periodically, as well. We will supply you with a recredentialing application when it is time for this process.

What are my responsibilities as a DeltaVision® network provider?

By joining our network, you agree to accept our terms and conditions when providing services to patients covered by a DeltaVision® plan. This includes providing a comprehensive eye exam according to our guidelines, accepting payment according to the plan’s co-payments and filing the claim on the member's behalf. To review the DeltaVision® provider manual, log in to you online account and click on the “Resources” tab.

How do I identify a DeltaVision® member?

DeltaVision® members will be given ID cards. Members do not have to present ID cards for services, but they should tell you if they are DeltaVision® members.

How do I verify a DeltaVision® member’s eligibility?

You can verify eligibility for a member through your online account. Just log in to your account and enter the member’s name, identification number and date of birth.

How can I reach a provider relations representative?

You may contact a provider relations representative by calling (877) 488-5130 or emailing providernetwork@deltavisionmo.com.

How can I reach customer service?

DeltaVision® customer service representatives are available Monday through Friday from 7 a.m. until 5 p.m. Central Time. You can reach them by phone at (877) 488-5130, or by email at providernetwork@deltavisionmo.com.

Will my patients be required to pay a co-pay when they visit?

Yes, DeltaVision® members will need to pay a co-pay when they visit a network provider. You can verify eligibility and the co-payment amount for a member by logging in to Provider Resources and entering the member’s name, ID number and date of birth.

Where should I send claims for DeltaVision® patients?

You may submit claims electronically by logging in to your account. You may also mail member claims. 

For in-network claims, mail to: 
DeltaVision 
c/o Advantica Administrative Services, Inc. 
PO Box 981607 
El Paso, TX 79998

For out-of-network claims, mail to: 
DeltaVision
c/o Advantica Administrative Services, Inc. 
PO Box 8510 
St. Louis, MO 63126

Is the DeltaVision® frequency limitation based on date of service, or by group contract year?

Frequencies are based on the group’s contract period. For example, if a member of a group with a frequency limitation of 12 months and a contract year starting January 1, purchases a pair of frames on January 15, he or she will not be eligible for benefits for new frames until January 1 of the next year.

How is the DeltaVision® plan insured and administered?

DeltaVision® is underwritten by Advantica Insurance Company. DeltaVision® is administered by Delta Dental of Missouri and Advantica Administrative Services, Inc. (Advantica®).