Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with EyeMed Vision Care before sending sensitive documents. FaxFlow is not affiliated with this organization.

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EyeMed Vision Care fax number

(866) 293-7373

Out-of-Network Claims

Used for: Submitting out-of-network vision care claims using EyeMed's Out-of-Network Vision Claim Form (Visual Services Claim Form) and sending it with itemized receipts for reimbursement.

Fax destination details

Department
Out-of-Network Claims
Purpose
Submitting out-of-network vision care claims using EyeMed's Out-of-Network Vision Claim Form (Visual Services Claim Form) and sending it with itemized receipts for reimbursement.
Form
Out-of-Network Vision Claim Form — Out-of-Network Vision Services Claim Form
Address
EyeMed Vision Care, 4000 Luxottica Place, Mason, OH 45040-7111
Voice phone
877-226-1412

Before you send

  • Confirm that this exact department handles your document or request.
  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Complete the form and attach itemized paid receipts. Submit to EyeMed Vision Care: ATTN: Out-of-Network Claims, P.O. Box 8504, Mason, OH 45040-7111; or fax to 866-293-7373.

Official form instructions are published as a downloadable file on the organization's website.

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