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Consolidated Builders Benefit Trust Vision Care Service Record (This form to be maintained by the providers' office) SECTION I PROVIDER/PATIENT SECTIONMember Name: Member ID No.: Patient Name: Relationship:Member
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Providerssuperior vision is needed by individuals who require vision care or coverage. This may include people with existing eye conditions, those in need of routine eye exams, individuals seeking prescription eyewear like glasses or contact lenses, or anyone interested in maintaining optimal eye health. Providerssuperior vision can benefit both adults and children in need of vision-related services and support.
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providerssuperior vision is a vision insurance provider.
Employers and individuals who have vision insurance through providersuperior vision are required to file.
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The purpose of providersuperior vision is to provide vision insurance coverage for individuals and employees.
Information such as policyholder details, coverage details, claims information, and benefits information must be reported on providersuperior vision.
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