Since VSP removed 1.74 from the pull down screen

[Happylady]

I sold several 1.74 under VSP but now I notice it is no longer on the pull down screen. I called VSP and they told me that I can still sell it but it is more conplicated since we have to do it under private lab. I am not sure at all how much we get paid for it would change. I sure wouldn't want to cut it in house so we would still have our VSP lab cut it. All our labs are VSP labs.

Does anyone do 1.74 under VSP anymore? Is it worth the extra trouble or should I stick to 1.7 or 1.67?

[DocInChina]

Does VSP allow you to order Rx lenses from private labs?

[Happylady]

Does VSP allow you to order Rx lenses from private labs?

Yes, all our VSPs are ordered from private labs. Many private labs take it.

[DocInChina]

Yes, all our VSPs are ordered from private labs. Many private labs take it.

Sorry, I did not make myself clear. Can a private lab bill you directly and then your office submits a bill to VSP for reimbursement?

[Happylady]

I'm not sure actually how it works. The woman at VSP was trying to explain it to me but it sounded like a lot more trouble and I didn't completely understand.

That is why I came here. I am hoping that some of my fellow Optiboarders have dealt with this. :)

[DocInChina]

I'm not sure actually how it works. The woman at VSP was trying to explain it to me but it sounded like a lot more trouble and I didn't completely understand.
That is why I came here. I am hoping that some of my fellow Optiboarders have dealt with this. :)

If you find out offline let us know here too. This could be interesting for me.

[MarcE]

Can a private lab bill you directly and then your office submits a bill to VSP for reimbursement?

Yes, but if you pay the average wholesale price for a lab order, you VSP reimbursment probably won't cover it. The way you do it is when you pick your lab from the drop down menu; you choose Non IDC private lab invoice. Then you order through your normal private pay channels. If you are using a stock AR coated high-index lens, though, your private pay costs would be less than the lab chargebacks for the same surfaced lens. VSP apparently frowns on this, and it's only supposed to be used in emergencies. But I do it sometimes. I'm sure that they are tracking me, but if we get audited and they drop us. eh. It won't be the worst thing that happened that week, I'm sure.

[DocInChina]

Yes, but if you pay the average wholesale price for a lab order, you VSP reimbursment probably won't cover it. The way you do it is when you pick your lab from the drop down menu; you choose Non IDC private lab invoice. Then you order through your normal private pay channels. If you are using a stock AR coated high-index lens, though, your private pay costs would be less than the lab chargebacks for the same surfaced lens. VSP apparently frowns on this, and it's only supposed to be used in emergencies. But I do it sometimes. I'm sure that they are tracking me, but if we get audited and they drop us. eh. It won't be the worst thing that happened that week, I'm sure.

I am out of the loop with VSP rules for 5 years now. If an ECP uses a Non IDC private lab "excessively" will VSP drop them as a provider? How does VSP handle payments for Non IDC private labs? Does VSP make payment directly to the ECP for all Non IDC private blab work?

[karen]

I do beleive it requires a post authorization which actually makes you more money (kind of makes up for the hassle) I think it tells you how to do that in your provider manual. Or you could call them again. I have noticed you can get different answers over there depending on who you talk to.

[MarcE]

I do beleive it requires a post authorization which actually makes you more money (kind of makes up for the hassle) I think it tells you how to do that in your provider manual. Or you could call them again. I have noticed you can get different answers over there depending on who you talk to.

I don't know about a post authorization making you more money, but VSP will still pay the ECP directly, at a pretty low rate though. Materials and dispense for a poly SV are less than $15.

[karen]

I highly recommend you look it up. It has been my experience that if the product can be billed this way that is actually pays more than going through standard VSP channels. When the Zeiss Individual first came out it was not approved and had to be billed like this and the office made more. It eventually became approved but until it was it was the only way to do it. Here is how it was done-under special lens allowance

Docs usual and customary
deduct 20%
deduct dispensing fee (which varies by office)
deduct base lens fee (which in this case was 35.00)


Alize with Clearview is not approved so I am thinking that is why they pulled it off and that this too can be done the post authorization way. I am just guessing though.

[cocoisland58]

Sorry, I did not make myself clear. Can a private lab bill you directly and then your office submits a bill to VSP for reimbursement?

Yes. You can put the claim through as "private lab" using Eyefinity. When you make your lab selection you choose either one. This is done in certain circumstances...the patient did not realize they had VSP so the glasses are already made, they can't give up their frame (though having the lenses sent to us for C&E is done frequently), or in the rare occasion that the product you need is not available through the VSP lab.

[cocoisland58]

I am out of the loop with VSP rules for 5 years now. If an ECP uses a Non IDC private lab "excessively" will VSP drop them as a provider? How does VSP handle payments for Non IDC private labs? Does VSP make payment directly to the ECP for all Non IDC private blab work?

A. You don't want to **** them off. Use their lab if you can.

B. They will pay you directly. You send them a lab bill.

[DocInChina]

A. You don't want to **** them off. Use their lab if you can.
B. They will pay you directly. You send them a lab bill.

I am not a provider any more. We are a private lab.