Templates

Vision Application

Vision Application

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Insurance
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Datapoint
Description
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A vision insurance application collects essential applicant and coverage details to set up vision care benefits. It includes personal information such as the applicant’s full name, date of birth, mailing address, phone number, email, and SSN or member ID, along with employer details if the plan is workplace-sponsored. The form also captures requested coverage type, plan selection, effective date, and dependent information when applicable.

Feathery’s AI extracts data on selected benefits such as routine eye exams, prescription lenses, frames, and contact lenses, as well as options for out-of-network reimbursement. It also identifies prior vision coverage, eligibility attestations, and any supplemental plan details. Automating this process reduces manual entry, ensures accurate enrollment, and accelerates eligibility verification and benefits activation for vision insurance applicants.

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