Phone:
(800) 877 6372

Email:
customerservice@mesvision.com

Mailing Address:

MESVision
PO Box 25209
Santa Ana, CA 92799-5209

What to do if you suspect fraud:

Toll-Free Fraud Line: (800) 378 9984
Email: qualitymanagement@eyemed.com
Online: Submit a Fraud Reporting Form
Mail: P.O. Box 25209 Santa Ana, CA 92799

Please call our dedicated toll-free Fraud Line or submit an email if you suspect illegal or wrongful billing practices. You may remain anonymous or choose to include your contact information. Our Anti-Fraud Committee will contact you if additional information is needed.

Notice of Right to Request Confidential Communication

Under California law, you have the right to request that MESVision send confidential or sensitive medical information to you at an alternative address or in an alternative format.

MESVision will implement restrictions concerning confidential communications upon your request, subject to reasonable conditions based on payment arrangements and specific information provided about the alternative address or method of contact.

Communications subject to this request may include any of the following written, verbal or electronic communications related to your receipt of services:

• bills and attempts to collect payment
• notices of adverse benefits determinations
• explanation of benefits notices
• requests for additional information concerning a claim,
• notices of contested claims,
• names and addresses of providers, descriptions of services provided, any information related to a visit, and
• any other written, oral, or electronic communication containing protected health information

Please complete the request form, and submit your request including the type of communication(s) above subject to your request, the alternative address requested, or the alternative format requested, to:

Email: privacyoffice@eyemed.com

Mail:
Medical Eye Services, Inc.
Attention: Privacy Office – CCR
P.O. Box 25209
Santa Ana, CA 92799

MESVision will respond to your request no later than 7 calendar days after date of receipt.

If you have any questions or need assistance, please contact (800) 877 6372.