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Web this companion guide to the asc x12n/005010x221a1 health care claim payment advice (835) implementation guide, also known as technical report type 3. Web download the form below and follow the instructions carefully. The information contained in this manual is confidential and proprietary, and. Contact us with your subscriber id, and the name and dob of the patient.
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Web eligibility form together with the claim paperwork: Fill out the claim form (click here to download) complete the claim form above and submit it with your itemized receipt to this address: Web download the form below and follow the instructions carefully. Web electronic claim submissions. Every plan is a little different, so be sure to contact spectera directly.
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Web When Visiting A Provider In The Spectera Eyecare Network, A Vision Id Card Is Not Required.
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