01. Edit your davis vision reimbursement form online
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File a claim with davis and vision 2026
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02. Sign it in a few clicks
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How to use or fill out file a claim with davis and vision
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- Click ‘Get Form’ to open it in the editor.
- Begin by filling out the Member/Employee Information section. Clearly print your name, identification number, and contact details including your mailing address and phone numbers.
- Next, provide Patient Information. Indicate the patient's name, relationship to the member, date of birth, and if applicable, attach proof of school attendance for students aged 19 or over.
- In the Provider Information section, enter the names and addresses of both the examiner and dispenser. Ensure you include their state license numbers and phone numbers.
- List all services received in the Service section. For each service (e.g., eye examination, frames), input the date of service and corresponding expenses incurred.
- Finally, complete the Member/Employee Certification by signing and dating the form to confirm that all information is accurate.
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vision reimbursement claim form
The form must be filled out by the member. All fields flagged with an asterisk (*) are required. The form is fillable, so you do not have to hand write.Read more
Submit claimsOpen submenu. Close submenuGetting started. For new providers 1-800-523-2847. Visit Davis Vision by MetLifes website. Connect with us. ContactRead more