Please download the below documents. When filled out, please send them to us by emailing [email protected]. W-9 (PDF) Vendor Maintenance Request Form (Excel) Additionally, ensure you include the following: Client / group name the request is regarding Letter of authorization from client / group Effective date Broker name Broker address

Before you begin, ensure you meet these requirements below. For independent practices: I have an NPI number I have a current application on CAQH (Council for Affordable Quality Healthcare) or OneHealthPort (for practices in the state of Washington) For Medicaid and/or Medicare plans, I have a valid Medicaid and/or Medicare

We are currently conducting routine scheduled maintenance on our web sites. Our convenient self-service functionality will be available on Sunday, September 19th at 5:00 AM ET. Thank you for your patience and we apologize for any inconvenience you may experience.

Members have access to Your Hearing Network for a savings of up to 40% off national average selling prices for brand name hearing aids.

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As of February 1, 2020, Davis Vision and Superior Vision will only accept original red CMS-1500 forms. Faxed claims, photocopies of CMS-1500, and any handwritten claim will no longer be accepted. This change aligns Davis Vision and Superior Vision with CMS guidelines on paper claims submission. Additionally, original red CMS-1500

You Now Have More Options to Shop Online Shop with convenience while using your member benefit online through these in-network online retailers. Can’t make it to a store? These retailers are in-network for most employer-insured members—and you can shop them online! Please reference your member benefits to confirm your eligibility

What type of vision care plans do you offer? Please click here to learn more about our routine vision care solutions. How do I find an in-network eye care professional? Click here to find eye care professionals, or log in to Benefit Manager or a member account. How can I

How do I enroll? Enrollment procedures vary by group but usually involve submitting a form as a new employee, during the Open Enrollment period or in the case of a qualifying event. Please contact your benefits administrator to determine your appropriate process for enrollment and to access the proper paperwork.

Thank you message Thanks for your submission. We’ll be in touch! Fields What type of assistance do you need?* Please selectIndividual plan inquiryTrouble logging in to the Member PortalIssue creating a new member accountGeneral member inquiryTrouble logging in to the Eye Care Professional PortalNew eye care professional registrationGeneral eye care