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While you will receive the maximum benefit by utilizing a network provider, BaltasVision, LLC does offer an out-of-network benefit. To access reimbursement for services provided by an out-of-network eyecare professional, please complete and submit an Out-of-Network Claim Form to:
BaltasVision, LLC
Claims Processing
P.O. Box 2525
Elizabethtown, KY 42702-2525
Forms require Adobe Acrobat Reader to view. |
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