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Below is a list of commonly asked questions with corresponding answers. If you have additional questions, you may call either our Customer Service department at 800-507-3800 or the Provider Relations department at 800-923-6766, option 7.
General Questions
- How do I become a participating in-network provider?
- How do I obtain an authorization # from Superior Vision?
- What is SmartAlert?
- Do you have special labs I need to use?
Benefits and Billing
- Must a patient present their ID card?
- Who do I contact for claim status, member benefits, or member eligibility?
- Can an in-network provider bill a member – at the time of service – for non-covered services?
- How do I obtain authorization for the Non-Elective / Medically Necessary contacts benefit?
Web Site and Online Services
- How do I sign up for online claims submission? How do I apply?
- Do you have ERA/EFT?
Provider Profile Changes
- How do I notify Superior Vision of changes in our practice, i.e., a new doctor, adding a new location, address/phone changes, etc.?
- 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 the Join Our Network form within the provider portal, or call our Provider Relations department at 800-507-3800 option 7 for information about becoming a contracted provider.
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How do I obtain an authorization # from Superior Vision?
Authorizations may be obtained via our secure provider portal, through our Fax Back system (800-507-3800 opt. 8), or you may call our Customer Service department and speak to a representative.
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What is SmartAlert?
Superior Vision’s SmartAlert is a tool to promote overall member wellness by providing an easy way to foster communication between you, the eye care provider, and the member’s primary care physicians
or specialists. This voluntary, HIPAA-compliant program includes a My Vision LifeStyle Update form for the members to give to the provider, as well as a Provider Communication form for the sharing of
diagnoses that might have medical implications. Learn more by clicking on the SmartAlert information within the secure portal.
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Do you have special labs I need to use?
No, you may utilize any lab with which you have a relationship. However, we do have a program through Essilor Labs of America with special pricing. Please see the Essilor information within the secure
section of the provider portal.
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Benefits and Billing
Must a patient present their ID card?
No. While we encourage members to bring their Superior Vision ID card, it is not a guarantee of coverage or services. Please utilize our website or call Customer Service for information regarding the
member’s benefits or eligibility for various services at the time of the appointment in your office.
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Who do I contact for member eligibility, member benefits, and claim status?
A member's eligibility and benefits can be obtained within the secure provider portal by clicking on the "Authorizations" link. Processed claims can be reviewed by clicking the "Review Processed Claims"
link. For pending claims status, please call our Customer Service department at 800-507-3800 and a representative will be able to assist you.
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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 co-pays at the time of service.
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How do I obtain authorization for the Non-Elective / Medically Necessary contacts benefit?
The form to request the Medically Necessary contact lens reimbursement authorization is located within the secure provider portal. You can fax the form to 916-852-2380.
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Web Site and Online Services
How do I sign up for online claims submission?
There is no need to apply – just simply click "Submit Claims" located in the secure provider portal.
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Do you have ERA/EFT Services?
Yes. We have partnered with InstaMed to provide you with Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA). Signing up for this program will enable you to receive your remittances electronically,
and have payments deposited directly to your bank account electronically. Please see the information on our Integrated ERA/EFT solution in our secure provider portal.
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Provider Profile Changes
How do I notify Superior Vision of changes in our practice, i.e., a new doctor, adding a new location, address/phone changes, etc.?
Use the "Change of Provider Information” form in the secure provider portal and fax it directly to the Provider Relations department at 916-852-2380.
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How do I inform Superior Vision about a change in my Tax ID Number?
Please fax us your practice information and a W-9 to 916-852-2380.
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