Exhibit A-11 - Vision Provider Report.xlsx

This is a Vision Provider Report (Exhibit A-11) documenting optometric and ophthalmologic service providers within a vision care network, likely associated with a state or local government employee benefits program or Medicaid managed care plan. The report catalogs facility locations, provider credentials, and network participation status across Texas and select out-of-state locations. The document represents a comprehensive provider directory rather than a competitive solicitation, listing hundreds of vision care facilities including independent optometry practices, retail optical chains (LensCrafters, Target Optical, Walmart Vision Centers, Costco Optical), and specialized eye care centers. Providers are categorized by facility name, address, professional designation (OD for Optometrist, MD for Medical Doctor, OPT for Optician), and network participation indicator (I for In-Network, O for Out-of-Network).

The report captures utilization data across multiple claims processing periods (10000354, 10000355), tracking both in-network and out-of-network providers to support claims management and provider performance monitoring. Network indicators demonstrate a dual-network structure with preferred in-network providers receiving direct participation status and out-of-network providers available for member access under alternative benefit arrangements. The geographic distribution emphasizes Texas coverage with concentration in the Austin, Round Rock, Cedar Park, and greater metropolitan areas, supplemented by providers in major urban centers nationally. This directory serves as an operational tool for benefits administration, enabling member access verification, claims routing, and provider network management under the vision benefit program.