Scope of the Manual
Use this manual in combination with your patient’s Patient Record Report. If you participate in other VSP networks, we’ll provide those manuals to you.
The VSP Provider Reference Manual contains guidelines for your partnership with VSP. The core sections and their contents are:
- Eligibility and Authorization: Processes for verifying patient eligibility for VSP coverage, determining which benefits apply, and submitting claims for reimbursement.
- Plans and Coverages: Covered services and administration of Vision Service Plan® eyecare plans.
- Eye Exams: Standard exam and supplemental test procedures for children and adults. Also includes processes for documentation requirements and referrals.
- Dispensing and Patient Lens Enhancements: Procedures for dispensing spectacle lenses and frames to patients. Also explains the use of contract labs and how to administer a necessary redo.
- Client Details: Specifics about benefits, coordination of benefits, and reimbursement.
- Policies: A listing of VSP’s policies and procedures for quality management, reimbursement, office standards, advertising, and safety.
Tools for Locating Information
The Table of Contents, lists the main manual topics by section.
The Glossary of the manual, provides an alphabetical listing of common terms used throughout this manual. A concise definition is provided for each term.