Blue View Vision Claim Form - You only need to complete this form if you are visiting a provider that is not a participating provider in the blue view vision network. Return the completed form and your itemized paid receipts to: You may instead call member services at the number on the back of your id card to request a claim form. Web learn about your blue view vision plan benefits, network, and exclusions. Click below to complete an electronic claim form. To request reimbursement, please complete and sign the itemized claim form. Go green and get paid faster. Web claim form instructions.
Web learn about your blue view vision plan benefits, network, and exclusions. Return the completed form and your itemized paid receipts to: Click below to complete an electronic claim form. Go green and get paid faster. You may instead call member services at the number on the back of your id card to request a claim form. Web claim form instructions. To request reimbursement, please complete and sign the itemized claim form. You only need to complete this form if you are visiting a provider that is not a participating provider in the blue view vision network.