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1 Mailing Address: P.O. Box 1250 Tuscaloosa, Alabama 35403 CLAIMS MUST BE RECEIVED IN OUR OFFICE WITHIN 365 DAYS FROM DATE OF SERVICE. 1. MEDICARE (Medicare #) MEDICAID (Medicaid #) VISION CLAIM FORM
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What is vision clm form?
Vision clm form is a form used for reporting claims related to vision insurance.
Who is required to file vision clm form?
Individuals who have vision insurance and need to report a claim are required to file vision clm form.
How to fill out vision clm form?
To fill out vision clm form, you need to provide your personal information, insurance details, claim details, and any supporting documentation.
What is the purpose of vision clm form?
The purpose of vision clm form is to report claims related to vision insurance and request reimbursement for expenses.
What information must be reported on vision clm form?
On vision clm form, you must report your personal information, insurance policy details, date of service, provider information, and description of the claim.
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