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Return the completed form and copies of your itemized paid receipts to: Web you can now submit your form online or by mail: Your claim will be processed in the order it is received. Web click to visit provider resources want to join our network?
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Go green and get paid faster. Login to the online claims processing system. You’re an eye care professional already on our network with a question you’re an eye care professional wanting to join our network Return the completed form and your itemized paid receipts to: