VSP Out of Network claims

[chamilun]

Well, we match the out of network on eyewear as an additional discount too. Anagram also verifies eligibility and we can file electronically and it takes all of 30 seconds to file a claim. Payment can be set to send to the patient as well, which is what we do.

To each his own, but it is worth it for us.

that is interesting. we get a lot of calls for NVA which has really low reimbursement. may be worth it

[optician2601]

Any updates? Have you received any VSP payments? We are still waiting for payments from April 2023

[Alex Camblor]

Any updates? Have you received any VSP payments? We are still waiting for payments from April 2023

We have been getting paid after sending to the new address. Seem to be getting a lot more denied claims than previously though.

[optician2601]

Just received check payments this week. VSP is alive!!

[Alex Camblor]

Our office just noticed VSP has been making direct deposits in our bank account without authorization and not providing any remittance reports to show which patients the payment belong to. Does anyone know who I should contact to ask about this? They wont accept a phone call from out of network providers and when you email, they just send you a excel form to fill out to inquire about specific claims.

[chamilun]

how did they get your bank acct info? Did you used to be in network?

[Alex Camblor]

how did they get your bank acct info? Did you used to be in network?

We used to be in network, maybe 10 years ago, but they never did direct deposit back then it was always a paper check. We have been doing OON claims for years and always received paper checks and then all of a sudden we are getting direct deposits with no remittance reports whatsoever.

[optical24/7]

This^

We did something similar, 100 buck allowance on frames and 75 off lenses. But, we didn’t file for them or check eligibility or wait to be reimbursed buy an insurance company. If you’re gonna do all that extra leg work, you might as well be on the insurance panel of providers. We simply had the forms for OON on most insurers, filled out our part, price, location..gave them a stamped envelope to send it off, that was it.

Granted, most of our clients purchased from us because they wanted to, the discounts and reimbursement from their insurers were just bonuses to most.

I honesty don’t believe if you go with the above you’ll loose your vsp, eyemed or whatever ins is out there. You’re out of network for a reason. You’re really not out of network if you wait for reimbursement from an ins company. You’re patients will still use you and wait for their reimbursement. I’ve ran and observed many a location that stay’s totally away from reimbursement from ins.

Don’t be scared to go totally out. Give them an itemized receipt, fill out your part of their OON, give them an addressed and stamped envelope to their ins and dust your hands. You’re done, you got paid up front and the patients have their reimbursement in their hands, as far as you’re concerned. That’s it, and it’s easy!

[Skol]

Just received check payments this week. VSP is alive!!

been following this thread, thanks for the OP and updates on mailing address.

I also received checks about same time you did (after a likewise long delay), from claims from spring of this year.

followed by another looong remittance silence, until today when I received 71 checks in the mail.

Strange way to run a railroad!

[optical24/7]

been following this thread, thanks for the OP and updates on mailing address.

I also received checks about same time you did (after a likewise long delay), from claims from spring of this year.

followed by another looong remittance silence, until today when I received 71 checks in

Strange way to run a railroad!

(bold mine) I rest my case.

[jeremy1111]

Hi everyone. Has anyone had recent issues with filing VSP out of network as of 12/23 - current? We have not received a check since late November of 2023. We currently file through 2020source.com and have been using that portal for years.

[Elvis Is Alive]

We use Anagram and have had zero problems. We had maybe two claims bounce back when VSP changed addresses a few months back.