PPO vision claim

To submit a vision claim, download the claim form.

Once you’ve completed the form, return it to us by choosing one of these options:

• Return the completed form via email to VisionClaims@ColonialLife.com, or
• Return the completed form via fax to 855-400-9307
• Return the completed form via mail to:

  Claims Department
  P.O. Box 80139
  Baton Rouge, LA 70898-0139

Explanations of benefits (EOB) are available once the claim has been processed. The explanation of benefits will provide, by procedure, the amount that was paid to the provider (if applicable) as well as any remaining balance that is the patient’s responsibility.