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Claim status and follow up

Everything you need to know after you've submitted a claim including status, time, and follow up

Jeremy Bluvol avatar
Written by Jeremy Bluvol
Updated over 2 years ago

Once you've verified benefits and submitted a claim, we automatically generate and send claims to the vision plan. It's important to understand how (1) claim status and (2) claim follow up works.

Claim processing time

Typical time from claim submission to reimbursement is roughly 3-4 weeks. This heavily depends on the time of year and the vision insurer.

Claim status

There are a number of statuses that indicate where the claim is in its process:

  1. Canceled: claim has been canceled and was not sent to the insurer

  2. Unfinished: claim is incomplete and is waiting to be finished

  3. Submitted: claim has been sent to Anagram and forwarded to the insurer

  4. Paid to patient: claim has been successfully reimbursed to the patient (note: we only know this if the patient informs us that payment has been received)

  5. Paid to provider: claim has been successfully reimbursed to the provider (note: we only know this if the you inform us that payment has been received)

Claim follow up

While we are able to handle the submission of claims, determining the EoB and final outcome of the claim is very difficult. We must therefore rely on the patient or provider to inform us of the final claim outcome and cannot follow up on the status of claims for you.

Claims with Assignment of Benefits (AOB)

Before you begin filing claims with AOB, you should always update your patient paperwork to clarify your policies regarding discrepancies from vision plan reimbursements.

If this claim is not paid (or not paid in full), we recommend that you write off any discrepancies.

How do I know what the claim status is?

The patient can easily determine the status of their claim. Additionally, you can help patients by walking them through how to follow up on their claims.

Vision Plan

Hours of Operation

Contact Information

VSP

Cigna Vision

Monday-Friday 8:00 a.m. EST - 11:00 p.m. EST Saturday 9:00 a.m. EST - 6:30 p.m. EST

(800) 877-7195

Spectera

Monday-Friday 8:00 a.m. EST - 11:00 p.m. EST Saturday 9:00 a.m. EST - 6:30 p.m. EST

(877) 303-2415

(800) 638-3120

Davis

Monday – Friday: 8AM to 11PM (ET) Saturday: 9AM to 4PM (ET) Sunday: 12PM to 4PM (ET)

(800) 999-5431

Superior

(800) 773-2847

EyeMed

Blue View Vision

Aetna Vision

Monday – Saturday: 7:30 am to 11:00 pm EST

(844) 225-3107

IVR: (866) 939-3633

Instructions:

Press ‘4’ for claims and then ‘1’ for claim status

Enter in the Patient’s information

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