Live Industry Intelligence
Built by ASP-RCM Solutions for eye groups operating across multiple sites and states
Ophthalmology, retina, glaucoma, cataract, oculoplastics and optometry payer changes across all 50 states and DC: state Medicaid, the Medicare contractor and its eye LCDs, Blue plans, UnitedHealthcare, Aetna, Humana and state eye-care law. Every cell links to the primary source and was checked against a verbatim quote. Window: January 2026 to June 2027.
Built for eye groups by the team behind our ophthalmology billing services. California runs deepest: see the California eye care billing guide.
The 2027 Medicare rules and the national UnitedHealthcare and Humana drug policies that apply in every state. Click any card for the primary source.
Pick a state to see every verified change for it, with the date and the primary source. Darker tiles have more changes this cycle.
| State / Jurisdiction | State MedicaidFFS + plans | Medicare MAC / MALCDs + changes | BCBS / Anthemstate plan | UnitedHealthcareincl. Community Plan | Aetnaincl. Better Health | HumanaMA + Medicaid | State eye-care lawscope, PA, vision plans |
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Send us 90 days of eye care claims and remits. A senior partner maps every denial to the payer rule behind it, by service line and site, and hands you the list. Free, 30 minutes, no obligation.
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