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Superior vision authorization request form

Superior vision authorization request form 2025

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The document is a Member Reimbursement Claim Form used for requesting reimbursement for services from out-of-network providers or for in-store promotions with in-network providers. It includes sections for subscriber and patient information, claim details for various types of lenses, and instructions on submitting the form along with itemized invoices to Superior Vision Services.

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Versions	Form popularity	Fillable & printable
2019	4 Satisfied (37 Votes)
2009	4.9 Satisfied (49 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How to submit a claim to superior vision?

Once on the Forms and Pubs page, click on the Member Reimbursement Claim Form link. Print the form, fill it out and mail it in to the address located on the form. Should you need more assistance, please call customer service at 1 (800) 507-3800.

How do I contact superior vision insurance?

First, call Superior Vision Customer Service at (800) 507-3800 and get an authorization number / eligibility number. Second, see your eye care professional and pay for your examination and/or materials.

Is superior vision the same as VSP?

Just follow these steps: Login to your vsp.com account. Click on View Your Benefits. Click Submit a Claim under Oops! Did You Go Out of Network? Click Start New Claim.

How do I submit a claim to Superior Vision?

Instead, call Superior Vision Customer Service at 800.507. 3800 and we will be glad to help you. You may submit a claim online by entering the members information on the Claims and Authorizations page, and selecting Submit a Claim. A chart will appear at the bottom of the page with information about the member.

How do I get a replacement ID card for Superior Vision?

If you want a replacement card, sign into your member portal at superiorvision.com to print a copy of your ID card, or call our customer service center to have a copy mailed to you.

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What is the phone number for Superior Vision by Metlife?

For Davis Vision or Superior Vision plans, call 833-EYE-LIFE (833-393-5433). Available Monday through Friday 8AM 9PM ET and Saturday 9AM 4PM ET. IVR available 24/7. For the VSP Choice plan, call 24/7 at 1-855-MET-EYE1 (1-855-638-3931).

Superior vision authorization request form 2025

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The easiest way to modify Superior vision authorization request form in PDF format online

See more superior vision authorization request form versions

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Got questions?

How to submit a claim to superior vision?

How do I contact superior vision insurance?

Is superior vision the same as VSP?

How do I submit a claim to Superior Vision?

How do I get a replacement ID card for Superior Vision?

Complete this form in 5 minutes or less

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What is the phone number for Superior Vision by Metlife?

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