Superior Vision Claim Form. Web then you must submit a completed metlife vision claim form and itemized receipt to the appropriate address: Scheduling an appointment and understanding your benefits is simple.
Vision Insurance Office of Business Affairs
Web superior vision contracts with various lasik networks. Web vision care is the most impactful investment in overall wellness. Please retain the original for your records. Web what is the best way for an employee to utilize his vision benefit when using an eye care professional who is not on the superior vision eye care professional list? How to submit this form mail a copy of the itemized invoice or receipt imprinted with the provider's name and address along with this form to the contact information below. Depending on your benefit coverage, a lasik discount or allowance may be included. Subscriber information (please print clearly) subscriber name daytime phone ( ) evening phone ( ) Claims processing 881 elkridge landing rd Save or instantly send your ready documents. Save or instantly send your ready documents.
Superior vision collects, validates, and submits all documentation, history and quality data for review by the credentialing committee. Easily fill out pdf blank, edit, and sign them. Subscriber information (please print clearly) subscriber name daytime phone ( ) evening phone ( ) In most cases, lasik is performed on both eyes and completed within. For davis vision or superior vision: Depending on your benefit coverage, a lasik discount or allowance may be included. Submit your usual and customary charges for all services • notify superior vision of any changes/updates in your practice such as your name, address, telephone Please retain the original for your records. Claims processing 881 elkridge landing rd With superior vision, you will always receive quality, affordable eye care from qualified eye care professionals. Save or instantly send your ready documents.
