OUT-OF-NETWORK CLAIM
Submit an out-of-network claim if you have seen an out-of-network provider or utilized an in-store sale or promotion from an in-network provider.
If you choose to use an out-of-network provider or utilize an in-store sale or promotion from an in-network provider, pay the provider in full for the services and eyewear received at the time of your appointment.
You can submit a claim online or via mail or fax. Please be sure to include a copy of your receipt with your claim.
Claims must be received within six months from the date of service. You will receive a reimbursement check within 5 weeks of when your claim was submitted.
Submit your claim via mail or fax
Complete the claim form and attach a copy of your receipt or itemized bill that explains what services were provided.
Mail or fax these to:
PEP Vision
Attention: Claims Department
2170 Ashley Phosphate Rd., Ste 604
North Charleston, SC 29406
Fax: (843) 577-5895