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Attention All Providers!

On-line Eligibility Lookup and Claims Processing is now available. You need to register for the Provider On-line Access to use your new tools. Register, login and the tools are on the left menu!

Max Vision Care, Inc. has a very important news bulletin that requires your immediate attention. You will need to login to your Provider On-line Access system to get your message.

Note - Access to the Provider On-line Access system is a secured area of this website. If you require assistance with a lost password or help with the Provider On-line Access system, please contact the Technical Support team at: Administrator.

Provider On-line Access

Members and Benefits Employers Control Panel
Brokers and Agents Provider Registration
File A Claim
Employers Control Panel
Provider Registration

TO FIND A PROVIDER NEAR YOU
CONTACT US AT 562-698-3607 / 866-557-0518
A PROGRAM SPECIALIST WILL BE HAPPY TO ASSIST YOU


File A Claim

Please click here to download the Claim Form.


Please note: This document requires Adobe Acrobat Reader.
If you do not already have Acrobat installed on your computer,
you may download it for free by clicking here
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(Very Important - Be sure to register for your Provider On-line Access, then as a registered provider you can file claims through our online, real-time claims submission system that is now available.)
[1] Ask for details. Some restrictions may apply.

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