Billing Orders For a complete proposal or for a network access report, please contact your VSP Representative. $774. Orders submitted through eClaim must be processed and completed per your normal means, but billed as a private order. Essentials Plan orders are generally submitted to your lab through Eyefinity. It’s essential to check for eye health risks associated with improper wearing or fitting of contacts, because if left untreated they can affect the overall health of your eyes. All other brands or marks are the property of their respective owners. For example, if a doctor orders a pair of progressive lenses and your private price for the progressives is $100.00 and your private price for bifocals (base lens) is $30.00, charge the doctor $70.00 for the add-on ($100-$30=$70) as well as the bifocal fee listed on the National Medicaid Plan Fee Schedule. VSP will pay you your base lens prices and Signature Plan option fees for materials ordered and supplied to VSP doctors. … These high quality plans are versatile and cost competitive. Pricing VSP Orders. You are responsible for … Billing You must have a contact lens procedure code (92326, 92310, 92311, 92312) recorded in an exam record or on a fee slip with contact lenses in order to receive the correct out-of-pocket calculations. If you are a participating National Medicaid Plan lab, charge according to the National Medicaid Plan Fee Schedule. VSP Preferred Providers • VSP has 44,000 access points nationwide. If your lab receives a VSP Materials Invoice form with a copy of a Gift Certificate attached or an eClaim order with Lab Comment Code(s) L096 or L097, notify the doctor that you cannot bill VSP for the materials. Bill doctors on a private invoice for Medicaid orders. VSP’s Repair Plan allows a patient’s frames or lenses to be repaired or replaced. VSP has enhanced their premier full-service, VSP Signature Plan, to … Lens coverage on CVC orders includes the following: The materials listed below are excluded from CVC benefits, although certain group exceptions may occur. New VSP Exam Plus Savings Plan The new Exam Plus Savings Plan combines VSP’s low-cost covered-in-full Exam Plus benefit along with the enhanced value of the Vision Savings Pass program, offering VSP members a competitive national fee schedule, guaranteed pricing on lens enhancements, and discounts on frames and contact lens exams. VSP reimburses doctors directly for these orders. The State of California has mandated that certain Medi-Cal orders be completed by Prison Industry Authority [PIA] labs. The Essentials Plan is a modified version of the VSP Signature Plan. VSP will pay you for materials supplied to VSP doctors. American Red Cross charity claims are only billable through a VSPOne lab. Orders If you receive and process a charity order, bill the doctor on a private invoice. VSP Signature Plan The Signature Plan is a premier full-service plan with choice, flexibility and maximum value ... VSP will pay 75% of the cost for approved low vision aids, up to the maximum of $1,000 (less any amount paid for supplemental testing) per member every two years With VSP Signature With VSP Choice With other insurances Without insurance VSP Signature Plan' VSP Choice Plan' hdependent Sears@ Eye Care Providers Pearle Vision' The research2 conducted by Service Excellence Group, Inc. compared the same, popular, eyeglasses at independent doctors and retail chains. These high quality plans are versatile and cost competitive. PROVIDER CHOICES YOU WANT. If your lab receives a VSP Materials Invoice form with a copy of a Gift Certificate attached or an eClaim order with Lab Comment Code(s) L096 or L097, notify the doctor that you cannot bill VSP for the materials. 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