Results 1 to 3 of 3

Thread: VSP reimbursement

  1. #1
    OptiBoard Novice
    Join Date
    Feb 2019
    Location
    Toledo, OH
    Occupation
    Dispensing Optician
    Posts
    5

    VSP reimbursement

    I was looking through our VSP EOBs and I noticed we weren't always getting our service fee when photochromic was a covered option for the patient. I called VSP and was told the office does not receive a service fee for tints or photochromic lenses if it is a covered option under a signature plan. We also don't get a service fee for disabled patients or children getting polycarbonate lenses. The person I talked to was unable to fax or email me anything in black and white explaining this policy and they were unable to find it in the online provider manual. Anybody else ever hear of this? Is this something that rolled out with the new enhancement charts from March 2021 or has this been in effect a while?

  2. #2
    Master OptiBoarder DanLiv's Avatar
    Join Date
    Sep 2009
    Location
    Denver, CO
    Occupation
    Dispensing Optician
    Posts
    537
    This has always been the case. Look at the fine print on the bottom of the lens enhancement chart it states that.

  3. #3
    OptiBoard Novice
    Join Date
    Feb 2019
    Location
    Toledo, OH
    Occupation
    Dispensing Optician
    Posts
    5
    Thank you thank you thank you!

    I was just trying to make sure our retail pricing on our packages available through the local lab are more profitable than VSP's reimbursement, and priced low enough that a patient getting glasses and contacts will save more money using said package and saving their VSP benefit to use on contacts. I was surprised when I saw that on the EOB and brought it to the attention of our biller, who had never noticed that before.

Thread Information

Users Browsing this Thread

There are currently 1 users browsing this thread. (0 members and 1 guests)

Similar Threads

  1. Spectera eye exam reimbursement?
    By DMHarry in forum General Optics and Eyecare Discussion Forum
    Replies: 15
    Last Post: 04-16-2018, 04:00 PM
  2. Poll: Insurance Reimbursement
    By Barry Santini in forum General Optics and Eyecare Discussion Forum
    Replies: 2
    Last Post: 02-14-2008, 06:33 PM
  3. Question on VSP reimbursement
    By Happylady in forum General Optics and Eyecare Discussion Forum
    Replies: 2
    Last Post: 10-28-2007, 10:52 AM
  4. MES deduct 6% admin fee from reimbursement
    By a1vo in forum General Optics and Eyecare Discussion Forum
    Replies: 2
    Last Post: 12-01-2006, 07:58 PM

Bookmarks

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
OptiBoard is proudly sponsored by:
Younger Optics and Vision Equipment