This web site, www.mesvision.com (“Site”) is owned and operated by Medical Eye Services, Inc. (MES). MESVision maintains this Site for personal information, education and communication. Please feel free to browse the Site. Any activity on this Site is subject to monitoring by MESVision at any time. Anyone who uses this Site consents to such monitoring and agrees that MESVision may internally use the results of such monitoring without limitation.
RESTRICTIONS OF USE OF MATERIALS
No material from this or any other web site owned, operated, licensed or controlled by MESVision, may be copied, reproduced, republished, uploaded, posted, transmitted, or distributed in any way, without the prior written consent of MESVision. Modification of MESVision material or use of MESVision material for any other purpose is a violation of MESVision’s copyright, service mark, and other proprietary rights.
You may download material displayed on the Site for non-commercial; personal use only, provided you also retain all copyright and other proprietary notices contained on the materials. Downloadable forms provided on this Site for use in receiving plan benefits or for plan administration may be used as needed.
LIMITATIONS OF LIABILITY
MESVision has taken reasonable steps to ensure that the information contained in this Site is accurate. MESVision makes no warranty of any kind, implied or express, as to its accuracy, completeness or appropriateness for any purpose. We will make efforts to correct errors brought to our attention.
Last Revised: January 7, 2003
Health Insurance Portability and Accountability Act of 1996
In October of 2000, Medical Eye Services formed a HIPAA Core Committee as the first step in its commitment to comply with the Administrative Simplification Requirements by October 2003 and the Privacy Requirements by April 2003.
The Administrative Simplification Requirements of HIPAA (which were finalized in August of 2000) and the Privacy Requirements (which were amended in August of 2002) impact providers, employer groups, health plans, insurance companies, & billing services that exchange and/or maintain healthcare data electronically; including storing, printing, or sending data via computer that identifies a patient and their health condition, treatment, or payment.
This Federal Legislation has adopted industry standards in an effort to achieve uniform health information exchange through Electronic Data Interchange (EDI). Implementation guidelines for these standards include the following transactions:
Medical Eye Services is committed to working together with our business associates, trading partners, providers, and vendors toward implementation of the HIPAA Standards to protect individually identifiable health information and to improve the efficiency of electronic healthcare transactions. We will continue to update our website to inform you of our continual awareness and progress of this important legislation.
Effective Date: March 2004
WHAT INFORMATION IS COLLECTED
Provider Look Up: When Users access the on-line directory to locate local participating providers, we collect non-personally identifiable information to search our database, primarily zip code, city and/or county. Provider Registration: When a participating provider registers to use on-line provider tools (eligibility verification, claims submission), we collect provider-specific information including provider number and password.
Provider’s Request for Covered Person Eligibility: Within the registered provider area of the Site, providers can request Covered Person eligibility from us which lets a provider know whether or not a Covered Person is eligible for vision services. During this process, we collect Covered Person’s name, primary subscriber (if Covered Person is a dependent), and an individually identifiable number assigned to each Covered Person (i.e. social security or other number) is order to verify a Covered Person’s eligibility.
Provider Claim Submission: Within the registered provider area of the Site, providers may send claims to us for reimbursement for providing services to Covered Persons. The same data collected to verify eligibility is used in this process along with services rendered.
HOW MESVision USES YOUR INFORMATION
Benefits Administration: We utilize the information collected from this Site as noted above (“What Information is Collected”) to determine Covered Persons’ eligibility for covered services and to provide payment to participating providers from claims submissions.
California’s Health Insurance Marketplace
About Covered California
One of the important parts of the Affordable Care Act are state-run competitive health insurance ‘marketplaces’ (also known as ‘exchanges’) where individuals and small businesses (defined as companies with less than 50 employees) will be able to purchase affordable private health insurance for 2014. California’s health insurance marketplace is known as Covered California. In addition to buying coverage through Covered California, individuals and small businesses can also purchase health insurance the way they do today from brokers and directly through health insurance carriers.
Learn more about Covered California at www.coveredca.com.