EyeMed
Part of EssilorLuxottica
Specialty planmedicalvision
Typical enrollment turnaround
30-45 days
Summary
EyeMed is a specialty plan, part of EssilorLuxottica, offering medical and vision coverage across all 50 states + DC. Claims route under payer ID 31165, with 1 alternate ID in use across clearinghouses. Provider enrollment typically takes 30-45 days, with applications through EyeMed Provider Portal, and CAQH is not used. Through clearinghouses it supports professional claims and institutional claims.
At a glance
- Payer ID
31165Also seen as 5817- Uses CAQH
- NoApplication route: Payer's own application
- Service area
- All 50 states + DC
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
Common questions
- What is the payer ID for EyeMed?
- The payer ID for EyeMed is 31165. Alternate IDs seen across clearinghouses include 5817.
- How long does EyeMed provider enrollment take?
- EyeMed provider enrollment typically takes 30-45 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
- Does EyeMed require CAQH?
- No. EyeMed does not use CAQH. Applications go through its own enrollment process.
- What states does EyeMed cover?
- EyeMed operates in All 50 states + DC. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does EyeMed offer?
- EyeMed covers medical and vision.
Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.