Healthcomp vision 2025

1. Click ‘Get Form’ to open the healthcomp vision claim form in the editor.
2. Begin by entering your Policy and/or Group number(s) along with the name and address of your employer in the designated fields.
3. Fill in the Employee Information section, including the name, address, gender, date of birth, and Medical ID or SSN of the insured employee.
4. If applicable, indicate whether there is other vision insurance coverage by selecting 'Yes' or 'No', and provide details if you answered 'Yes'.
5. For claims related to dependents, complete their information including name, gender, date of birth, and student status.
6. Document vision services by entering the date of service, services rendered, and charges. Attach itemized bills if necessary.
7. Complete the physician or optometrist's information including their name, address, tax ID number, and signature.
8. Fill out the authorization sections at the end of the form to release information and authorize payment directly to your physician.

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