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Thread: Out of Network VSP Help

  1. #1
    Bad address email on file uniqueu's Avatar
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    Angry Out of Network VSP Help

    The patient keeps getting my money.:angry: The CS reps at VSP say the claims are correctly filled out can someone get me tips. We are holding the claims waiting for a response.

    Thanks Jeramy

    Yea 100 posts.

  2. #2
    ATO Member HarryChiling's Avatar
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    Quote Originally Posted by uniqueu View Post
    The patient keeps getting my money.:angry: The CS reps at VSP say the claims are correctly filled out can someone get me tips. We are holding the claims waiting for a response.

    Thanks Jeramy

    Yea 100 posts.
    I don't think that VSP allows assignment of claims. Either a VSP office gets the check or the patient gets the check.
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    As an out of network provider, the check was never yours...in a sense. I offer to bill insurances out of network for patients and refund the patient if and when I get a payment from their insurance. The patient must pay me in full, first. I'm in network for VSP, so I can't speak for VSP specifically, but any out of network insurances I've dealt with I learned long ago that I'm not getting paid.

  4. #4
    OptiWizard OptiBoard Bronze Supporter pezfaerie's Avatar
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    Unless you are part of a special VSP program (out of network that are allowed to "accept assignment" like Costco etc) Then the reimbursement will always go to the patient.
    Pez:D

  5. #5
    Bad address email on file uniqueu's Avatar
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    Starting in Oct VSP now allows patient to assign out of network benefits to the provider of their choice even walmart. But they are sending the check to patient by mistake according to the vsp rep. Thats what I'm having a problem with.

    Jeramy

  6. #6
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    Quote Originally Posted by uniqueu View Post
    Starting in Oct VSP now allows patient to assign out of network benefits to the provider of their choice even walmart.
    Yep...sounds great on paper!

  7. #7
    Bad address email on file uniqueu's Avatar
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    On paper it is Great.

  8. #8
    ATO Member HarryChiling's Avatar
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    Quote Originally Posted by uniqueu View Post
    On paper it is Great.
    It's great if you get paper. :)
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  9. #9
    Bad address email on file uniqueu's Avatar
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    agree

  10. #10
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    We've submitted to VSP as an out of network provider and we've rec'd the checks from them & they were not sent to the patient.

  11. #11
    Bad address email on file uniqueu's Avatar
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    Quote Originally Posted by kevbo48 View Post
    We've submitted to VSP as an out of network provider and we've rec'd the checks from them & they were not sent to the patient.
    Did you mail them a w-9

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