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Provider Office Manual

Provider Office Manual Participating eye care providers may use this guide for administering the Superior Vision Plan for members and dependents. SVS-PRO10-001 v005 02/2014 Table of Contents Welcome to Superior Vision Services .. 1 Superior Vision at a Glance .. 2 Coverage Summary .. 2 Website Provider Portal .. 3 Secure Portal Login .. 3 Claims & Authorizations .. 4 Eligibility .. 5 Customer Service .. 5 Fax Back Authorizations .. 5 Submit a Claim .. 6 Covered Member General Responsibilities .. 8 ID Cards .. 8 Participating Provider General Responsibilities .. 9 Definitions .. 10 Eye Exams .. 10 Non-Elective/Medically Necessary Contact Lens Benefit.

• Accept Plan reimbursement for covered services as payment-in-full. Do not balance bill the member for any covered services as described in their outline of benefits • Collect any eye exam and/or material co-payment(s) at the time services are rendered. Also, inform the

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