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Vision
Claims Submission Guidelines
When
you visit a Vision Service Plan (VSP) provider, you do not need to fill out a
vision claim
form (your provider will take care of that for you). However, all vision claims for
non-VSP providers should be filed with VSP,
following the instructions below:
-
Download
and print the VSP Claim
Form (Adobe Acrobat reader required, click here
for free download).
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Fill
out the VSP Claim Form completely and send it, along with all itemized
receipts, to VSP at the following address:
Vision
Service Plan
Attn: Out-of-Network Claims
P.O. Box 997105
Sacramento, CA 95899-7105
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