Get Guardian Anytime Form

Filling out the Guardian Anytime Form online can seem overwhelming, but with clear guidance, you can navigate it successfully. This comprehensive guide provides step-by-step instructions to assist you in submitting your reimbursement claim easily and accurately.

Follow the steps to fill out the Guardian Anytime Form online:

1. Click ‘Get Form’ button to obtain the form and open it in your designated application or editor.
2. Begin by entering your member information. Clearly print your full name, including your first name, middle initial, and last name. Also, include your member identification number and complete your mailing address.
3. Next, provide your contact information. Fill in your business phone number and your home phone number, ensuring that the area codes are included.
4. Proceed to the patient information section. Enter the patient’s name in the same format as your member information. Clearly state the patient's relationship to you by selecting from the options: member, spouse, or child. Don't forget to include the patient’s date of birth.
5. Complete the provider information section. Enter the names and addresses of both the examiner and dispenser. Include city, state, and zip code for each provider. Make sure to fill in the state license number and phone number for both as well.
6. In the service section, select the services for which you are requesting reimbursement. Clearly note the type and date of service for eye examinations, frames, lenses, and any other relevant expenses. Enter the costs incurred for each service.
7. Ensure you complete the member certification area. Provide your signature if you are the member or an authorized person and include the date of certification.
8. Review the form for completeness. Make sure all required fields are filled, signatures are obtained, and any necessary documentation is attached. Incomplete forms may lead to delays.
9. Finally, submit your completed claim form by mailing it to the Vision Care Processing Unit at the designated address. Ensure that you keep a copy for your records.

Start filling out the Guardian Anytime Form online today to claim your reimbursement.