For out of network providers, the preferred method to submit their claims or vouchers is via mail to:
Davis Vision Claims
PO Box 479
Troy, NY 12181
Superior Vision Claims
PO Box 509
Troy, NY 12181
Claims should be submitted on CMS 1500 forms. Claims should be filled out accurately and completely including all the data elements outlined in the clean claim section of the manual.
For providers requiring support on directions on how to submit a claim electronically and options, please call Customer Service at:
Davis Vision – 1.877.235.5316
Superior Vision – 1.877.235.5317