How to file a PPO claim:
For quick processing complete all sections on the form and be sure to include the following information:
- Your name, date of birth, Social Security number (SSN) and address
- Claimant’s name and date of birth (if other than primary insured)
- Your member number
- A detailed receipt of services for reimbursement
For the second part of the form, have your eye care professional complete the section titled “Provider Information” and have them attach a copy of the statement of services or the pretreatment estimate.
- Via email to VisionClaims@ColonialLife.com
- Via fax to 1-855-400-9307
- Via regular mail:
Claims Department
P.O. Box 14389
Baton Rouge, LA 70898-4389
How to file a Fee Schedule claim
To ensure quicker processing complete all sections on the form and be sure to include the following information:
- Your name, date of birth, Social Security number (SSN) and address
- Claimant’s name, date of birth, SSN (if other than primary insured)
- Treating physician’s information (must be an optometrist or ophthalmologist)
- Date of vision exam and the date you purchased your eyeglasses or contact lenses
- A detailed receipt of services for reimbursement
By fax: 800-880-9325
By mail: Claims Department
P.O. Box 100195
Columbia, SC 29202