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Thread: VSP sv poly "Lab Choice" requires aspheric charge???

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    Compulsive Truthteller OptiBoard Gold Supporter Uncle Fester's Avatar
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    VSP sv poly "Lab Choice" requires aspheric charge???

    Anyone noticing a change in cost for sv poly for VSP patients?

    We always used the "Lab Choice" option and have seen a recent order go through where the savings statement was $28 higher than the charge we thought applied. A call to VSP told us to override the extra charge but on further examination the letter codes matched up but we noticed that the aspheric code happened to be $28 with a $10 charge back.

    There is no option in the drop down to specify non aspheric so it appears this is now an automatic default.

    At least that's what we are seeing now.

    Anyone else notice this?

    Also- Very frustrated that we now must submit to the lab before we can see the savings statement as that was a big help to catch incorrect charges before submission. I'll bet the labs are seeing a big increase in requests to "Void back to Doctor!

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    Quote Originally Posted by Uncle Fester View Post
    Also- Very frustrated that we now must submit to the lab before we can see the savings statement as that was a big help to catch incorrect charges before submission. I'll bet the labs are seeing a big increase in requests to "Void back to Doctor!
    Same. I have placed no less than 8 phone calls to VSP with issues, and every time I express in painful detail my distaste for their decision making on this front. On one occasion I think I even told the customer service rep that I don't wish a difficult day on anyone, but I really hope they get a lot of phone calls about this, because it's a MAJOR inconvenience for us as an office, and ultimately our patients, if the order gets delayed at the lab because of it.

    I haven't seen the same issue you have with the "Lab Choice" option, unless you're picking the "Digital Aspheric - Lab Choice" option. If it's just the base "SV - Lab Choice" option, you shouldn't get the extra technical add-on applied. That being said, we have noticed some other glitches come up (for example, an extra charge being predicted by VSP for groove-mount frames), so maybe it's just something they'll have to iron out over time?

    VSP has become extremely frustrating since July 1st.

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    I have issues with the newly covered standard progressives (on those select authorizations and plans) not coming up as covered as they are supposed to when submitting the order.

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    Master OptiBoarder rbaker's Avatar
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    Another example of the "new" sharecropping.


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    Compulsive Truthteller OptiBoard Gold Supporter Uncle Fester's Avatar
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    Quote Originally Posted by bretk0923 View Post

    I haven't seen the same issue you have with the "Lab Choice" option, unless you're picking the "Digital Aspheric - Lab Choice" option. If it's just the base "SV - Lab Choice" option, you shouldn't get the extra technical add-on applied. That being said, we have noticed some other glitches come up (for example, an extra charge being predicted by VSP for groove-mount frames), so maybe it's just something they'll have to iron out over time?

    VSP has become extremely frustrating since July 1st.
    In the case I'm using as an example I noticed the savings statement was too high by $28 and was told to override it by VSP provider service which I did. But now it has me thinking they are sometimes applying a $10 charge back that my bookkeepers out back are saying is not noticeable on the monthly statement.

    Are the Charge Backs there and will we be able to check this when July's statement comes out?

    Makes you wonder if those "No Statement Available" submissions might have done this and we have no way of knowing.

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    What's up? drk's Avatar
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    I don't give out the savings statements because it's essentially to tell patients "you need VSP...we're too expensive".

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    Master OptiBoarder AngeHamm's Avatar
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    Quote Originally Posted by drk View Post
    I don't give out the savings statements because it's essentially to tell patients "you need VSP...we're too expensive".
    +1. I have never given out a single one.
    I'm Andrew Hamm and I approve this message.

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    Quote Originally Posted by AngeHamm View Post
    +1. I have never given out a single one.
    Me neither.

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    Quote Originally Posted by Uncle Fester View Post
    In the case I'm using as an example I noticed the savings statement was too high by $28 and was told to override it by VSP provider service which I did. But now it has me thinking they are sometimes applying a $10 charge back that my bookkeepers out back are saying is not noticeable on the monthly statement.

    Are the Charge Backs there and will we be able to check this when July's statement comes out?

    Makes you wonder if those "No Statement Available" submissions might have done this and we have no way of knowing.
    Unfortunately, I don't do any of the processing on the back end, I only submit claims. So I don't really have the knowledge of whether these changes will affect statements. I've just been getting case numbers from customer service reps for all of these "issues" that VSP is "working on" because I have this sneaking suspicion that they're somehow going to come back and bite us in the collective rear end if we don't cover it. I'd be interested to see how this will affect everyone's bottom line, though. I have a sneaking suspicion that somehow it's going to end up costing us all in the end.

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    Did they give any excuse for not allowing us to see the savings statement until it's submitted? I agree that being able to see it helped me catch many mistakes, particularly when I was new to insurance.

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    Compulsive Truthteller OptiBoard Gold Supporter Uncle Fester's Avatar
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    Quote Originally Posted by ajonesgirl View Post
    Did they give any excuse for not allowing us to see the savings statement until it's submitted? I agree that being able to see it helped me catch many mistakes, particularly when I was new to insurance.
    No. One rep suggested we have our Doc's bring this up as they listen to them much more than those of us in the trenches.

    Also- as related to another thread Eye Med is scary in their changes. The bookkeepers are very concerned as to how the changes that took place around July 4th with these two managed care programs will affect how we ensure full payment for services rendered. It just smells fishy.

    But I'm sure the insurance companies only have our best interests in mind!

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