Davis vision claim fax number form 2025

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The document is a Direct Reimbursement Claim Form for members seeking reimbursement for vision services from non-network providers. It outlines the necessary information required for submission, including member and patient details, provider information, and a list of eligible services. The form emphasizes the importance of completeness to avoid delays in payment and includes a fraud statement detailing the legal consequences of providing false information.

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2017	4.8 Satisfied (177 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 do I contact Davis Vision?

If you need to contact a member service representative, you may call 1 (800) 999-5431, or send an email by visiting our contact page.

Does Target Optical accept Davis Vision?

Davis Vision has a provider network consisting of 22,000 private practitioners, independent optometrists and ophthalmologists, opticians, and retailers nationwide. Many national and regional retail stores are now in-network, including Wal-Mart, Target Optical, Sears Optical, Pearle Vision, and Doctors Visionworks!

What does the Davis Vision cover?

Coverage includes routine eye exams and corrective eyewear, including frames, lenses, and contact lenses. These exams promote early detection and treatment of chronic conditions.

Where do I mail my Davis Vision appeal?

Department, P.O. Box 791, Latham, NY 12110, or fax to 1-888-343-3475. Be certain to keep copies of this form, your denial notice, and all documents and correspondence related to this claim.

How do I talk to a Davis vision representative?

For more information, call Davis Vision Customer Service at 1-800-999-5431.

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Does Davis Vision send insurance cards?

Typically, the primary policy holder receives a member ID card; covered dependents do not. However, you do not need the ID card to use your benefits. Replacement cards can be ordered through your online member account or by calling us.

How do I 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.

Davis vision claim fax number form 2025

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Got questions?

How do I contact Davis Vision?

Does Target Optical accept Davis Vision?

What does the Davis Vision cover?

Where do I mail my Davis Vision appeal?

How do I talk to a Davis vision representative?

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Does Davis Vision send insurance cards?

How do I submit a claim to superior vision?

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