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Thread: VSP reimbursement

  1. #1
    OptiBoard Novice
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    Toledo, OH
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    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
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    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
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    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.

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