Simple Vision
Plans

FAQs

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How do I check eligibility?

To check a member’s eligibility, log into our online portal and click the “Eligibility” tab.  Be sure to have the member’s ID number available.

How do I obtain an authorization?

Obtaining an authorization is simple and only takes a few minutes.  First, log into our online portal, then click “Authorizations” and fill out the required information.  Once you select the correct member, click “Obtain Authorization”.  You may also call Customer Service at 888-254-4290 to obtain an authorization.

How can I release an authorization?

You can cancel your authorization by logging into our online portal and clicking the “Authorizations” tab.  Then, select the authorization you would like to cancel and click “Cancel an Authorization”.  You may also call Customer Service at 888-254-4290 if you need assistance.

How do I obtain a member ID number?

To obtain a member ID number, please call our Customer Service Department at 888-254-4290.  Be sure to have the member’s name and date of birth on-hand.

How do I file a claim?

There are three options for submitting routine vision claims: 

 

  1. Online.  You can submit claims by logging into our online portal and clicking on the “Claims” tab.  

  2. Paper Forms.  Claims can be sent via CMS/HCFA 1500 Paper Forms.  These forms can be submitted by: 

    a. Faxing them to 704-426-6044 – Attention: Claims

    b. Mailing them to CEC, Attention: Claims, 2359 Perimeter Pointe Parkway, Suite 150, Charlotte, NC 28208, 

  3. E-Claims.  CEC accepts claims via electronic 837 file format.  

 

Please note that an authorization number must be obtained in order to file a claim.  In addition, any claim in which the primary diagnosis code is a medical diagnosis code (i.e., not a routine vision diagnosis code) should be sent to the member’s health plan.  Such claims should not be filed with CEC.

How can I check the status of a claim?

To check on the status of a claim, please contact our Claims Department.

Does CEC reimburse quickly?

Yes.  Our state-of-the-art claims system enables providers to submit claims online in a matter of seconds.  The system ensures that each online claim is complete and accurate, which dramatically shortens the turnaround time for claims payment.  Claim payments are issued twice a month.

How can I check the status of my credentialing?

Please contact our Provider Relations Department to check the status of your credentialing.

How can I become an in-network provider?

Where can I obtain a copy of an EOB?

To obtain a copy of an EOB, please contact our Claims Department.

How do I log into CEC’s online portal?

To access our online portal, visit our Providers page and click Account Login.

Do you offer Electronic Funds Transfer (EFT)?

Yes.  To update your EFT information, please contact our Provider Relations Department.

We have been working with CEC for over 10 years.  Our experience has been nothing short of fantastic.  They have a quick turnaround time for payment, their plans are easy to understand and they have great customer service.  Their staff is always friendly and eager to help.  We appreciate their credentialing process because it is much faster than other companies and their online claims submission is simple to use which is a plus for high volume offices like ours."

Joan Eason, Insurance Department Manager
Eyecarecenter