Frequently Asked Questions

Thank you for visiting our website and participating in our vision plan!

Before contacting our Customer Services or Provider Relations personnel, you may want to review this list of commonly asked questions and answers. If you do not find the answer to your question, you may email Superior Vision by using the Contact Us link and our Customer Services Department will e-mail the answer to you within two business days, or call either our Customer Service Deptartment at (800) 507-3800 or the Provider Relations Department at (800) 923-6766.

General Questions

  1. How do I become a participating in-network provider?
  2. Are referrals needed for vision care?
  3. Must a patient present their ID card?
  4. How do I obtain an Authorization # from Superior Vision?

Billing & Membership

  1. Who do I contact for claim status, member benefits or member eligibility?
  2. Can an In-Network provider bill a member, at the time of service, for non-covered services?

Forms & Documents

  1. How do I obtain authorization for the Medically Necessary / Non-Elective Contact Lens benefit?

Web Site and Online Services

  1. I would like to sign up for on-line claims submission. How do I apply?

Provider Profile Changes

  1. How do I notify Superior Vision of a new doctor that has joined our practice?
  2. How do I add an additional location to my existing practice?
  3. How do I change my practice information (Address, Phone, Fax)?
  4. How do I inform Superior Vision about a change in my Tax ID Number?


General Questions

How do I become a participating in-network provider?

You may fill out our Nomination Form or call our Provider Relations Department for information about becoming a contracted provider.
[Return to Top]

Are referrals needed for vision care?

No. It is not necessary to obtain a referral for medical and routine vision services provided by In-Network eye care professionals. Examples of these would be: Ophthalmologists, Optometrists, Pediatric Ophthalmologists, and Opticians.
[Return to Top]

Must a patient present their ID card?

No. We encourage members to bring their Superior Vision ID card, however since the ID card is not a guarantee of coverage or services, it really does not serve as a reliable source of information regarding the member’s benefits or eligibility for various services at the time of the appointment in your office.
[Return to Top]

How do I obtain an Authorization # from Superior Vision?

Authorizations may be obtained via our secure Provider Portal, Fax Back System, or you may call our Customer Service Department and speak to a representative.
[Return to Top]

Billing & Membership

Who do I contact for claim status, member benefits or member eligibility

Processed claims can be reviewed by clicking the "Review Processed Claims" link located in the Provider Menu portion of the Provider Site. A member's benefits can also be obtained from the same location by clicking on the "Authorization" link. For pending claims status please call our customer service department at (800) 507-3800 and a representative will be able to assist you.
[Return to Top]

Can an In-Network provider bill a member, at the time of service, for non-covered services?

Yes. The member may be billed for non-covered services and any copays/coinsurances at the time of service.
[Return to Top]

Forms & Documents

How do I obtain authorization for the Medically Necessary / Non-Elective Contact Lens benefit?

The form to request the Medically Necessary Contact Lens Benefit can be located on our webpage or in your Participating Provider Office Manual.  You can fax that form to 916-852-2380. 
[Return to Top]

Web Site and Online Services

I would like to sign up for on-line claims submission. How do I apply?

There is no need to apply, just simply click the "Submit Claims" located in the Provider Menu portion of the Provider Site.
[Return to Top]

Provider Profile Changes

How do I notify Superior Vision of a new doctor that has joined our practice?

You can use the "Change of provider information form" on the provider portion of the website or email your change to Superior Vision.
[Return to Top]

How do I add an additional location to my existing practice?

You can utilize the "Change of provider information form" located in the Provider Menu portion of the Provider Site and fax it to us at 916-852-2380, or you can email the changes to Superior Vision.
[Return to Top]

How do I change my practice information (Address, Phone, Fax)?

The "Modify Profile" link located in the Provider Menu portion of the Provider Site will display your current information as it entered into our system. You can make changes and submit to Provider Relation for processing. A W-9 form is also available on the Provider Menu page if you have a new Tax ID number.
[Return to Top]

How do I inform Superior Vision about a changein my Tax ID Number?

Please fax us your practice information and a W-9 to 916-852-2380.
[Return to Top]