Business is Dr. Anthony Fusco, Tax ID is 26-1105379. NPI# 1841224599.
ANTHEM BLUE CROSS / BLUE SHIELD Provider ID #09Y010651NH02
YGG, YGC, YGF, YGK 800-332-6558
YGO, YGQ, YGT, YGP, YGR 855-854-1438 - Obamacare Exchange plans. Assume No Routine Coverage Unless Verified.
Under 18yo routine covered, 18 yo and older rarely covered.
NHN, NHP, YGD 800-332-6558
MTN, MTP, XXP 800-676-2583
MA State 800-358-2212
National 800-676-2583
Federal Employee (“R”) 800-852-3316
EQW (union) 800-832-6538
UEB 800-688-6508
We are provider for PPO, POS, and HMO local (NH) plans.
Blue Vision is usually Eyemed, or Davis.
XXH $20 Copay, if no copay on card. Do not call.
XXA and YGA usually does not have routine eye care.
Federal Employee “R” has no routine eye care. Look under Eyemed and Davis.
HARVARD PILGRIM Provider#AA76792
“HP” 800-708-4414
All numbers 800-708-4414
“HH” 800-532-7575
Student Plan 800-467-3908 – Assume No Routine Coverage Unless Verified.
EYEMED 888-581-3648. Provider ID NH0790.
TUFTS All plans are through Eyemed for routine and medical eye care. Note – some plans are now part of MA Health and we are not providers for these plans.
VSP 800-877-7195. Need last 4 of Primary’s SS#.
AETNA 888-632-3862
UNITED HEALTHCARE 877-842-3210
UMR “Y” prefix 800-826-9781
SUPERIOR VISION 800-507-3800.
Authorization by internet: www.superiorvision.com, Select “Eyecare Providers”, Select “Secure Login”, Enter Tax ID, Select Authorizations, Enter Member ID# (usually SS#) and Member Name. Authorization by phone: need members name and DOB, member ID #, and subscriber’s name.
CIGNA 800-244-6224
CIGNA Vision 877-478-7557
TRICARE 1-877-874-2273.
UNICARE / GIC 1800-442-9300.
MEDICARE 877-869-6504. Say "New Hampshire", "Eligibility", NPI = "1841224599", PTAN="RE8808", Last 5 Tax ID="05379". You will need Medicare ID#, Patient name, DOB, DOS. If there is another insurance, write that insurance in the Reference section of the Patient Info Form, and also note if it is a Supplement or Advantage Plan.
*NOTE - If the patient has a Medicare Advantage Plan, the IVR will still say Medicare is primary. You will then need to call the advantage plan and verify routine benefits. If there are no routine benefits, the patient will be a self pay.
NETWORK HEALTH Usually is covered by Eyemed, otherwise we are out of network.
GREAT WEST HEALTH 1-800-633-4671.
MVP HEALTHCARE 1-800-777-4793 MVP Provider #: 4151549
Dartmouth Hitchcock (for referrals) 800-786-8040 option 1,2,3,#,#,2