Providers can now submit Diabetic Retinal Exam data via the Provider Portal Data Submission Tool (DST). Submitting data via the DST is recommended to ensure complete data is reported and for compliance in the Care-Based Incentive (CBI) Program and Healthcare Effectiveness Data and Information Set (HEDIS)
The Diabetic Retinal Exam measures data for members 18-75 years of age with diabetes (type 1 and type 2) who had a diabetic retinal exam performed during the calendar year, or a negative diabetic retinal eye exam in the prior year.
Please refer to the Data Submission Tool Guide, available on the Provider Portal, for step-by-step instructions and how to upload, accepted codes, and required data fields. An email confirmation will be sent within one business day after each data submission.
If you do not have access to the Provider Portal Data Submission Tool Guide, or if you have questions, please contact the Provider Portal Support Specialist at (800) 700-3874, ext. 5518 or by emailing [email protected]