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VSP Manual 2025

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2025 VSP Manual

Effective January 1, 2025

Use this manual in combination with your patient's patient record report.

VSP Manual Table of Contents

Manual Print PDF Download

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Introduction

Scope of the Manual

Contacting VSP

Tools and Forms

Tools and Forms Index

Explanation of Payment Message Codes

VSP Signature Plan Lens Enhancements Charts

Eligibility and Authorization

Determining a Patient's Eligibility

Submitting Claims/Timeliness

Claim Appeals

Coordination of Benefits

Coordination of Benefits

Determining and Applying Benefits

COB Routine Secondary Allowances

COB Client Exception Rules

Submitting COB Claims

COB Resources

Plans and Coverages

VSP Signature Plan^®

Contact Lens Benefits

VSP Access Plan^® & VSP Access Indemnity Plan^SM

VSP Integrated Primary EyeCare Program^SM

VSP Exam Plus Plan & Exam Plus With Allowances Plan

ProTec Safety Plan

Safety EyeCare Plan

LightCare Enhancement

Computer VisionCare Plan

VSP EasyOptions

Repair/Replace Benefits

VSP Elements Program

Retinal Screening

Essential Medical Eye Care

VSP Diabetic Eyecare Plus Program

Laser VisionCare Program

Low Vision

Vision Therapy

Interim Benefits

Telemedicine

Eye Exams

VSP WellVision Exam Components

Pediatric Eye Exams

Supplemental Testing or Procedures

Exam Documentation

Medical Record Documentation

Contact Lens Case Management Procedures

Quality Measures

Clinical Practice Guidelines

Dispensing Patient Lens Enhancements

Using Our Contract Lab System

VSP In-Office Finishing Program

Maui Jim

National Contract Lab List

Patient Lens Enhancement Fees Instructions

Patient Lens Enhancement Explanations

Sales Tax

Proprietary Lens and Frame

Doctor In-Office Lens Enhancements

Providing Frames

Frame Companies/Lines

First-Time Doctor Redos

Product Index

Client Details

BCBSM-MESSA (Blue Cross Blue Shield of Michigan - MESSA)

Coventry Health Care of Virginia, Coventry Health Care of West Virginia, Coventry Health and Life Insurance Company

Elective Contact Lens Copayment Exception Clients

Elective Contact Lens Covered In Full Exception Clients

Hexcel Corp Clients Details (Utah Employees Only)

Hometown Health Plan Integrated Primary Eyecare

Idaho Power Company Client Details

Navajo Transitional Energy Company

NV Energy Client Details

Post-Cataract Enhancement Clients

Principal Financial Group

RTX corporation

The Greenbrier Company Inc

Tucson Electric Power

Union Benefits Trust

United State Parcel Service (UPS)

Vulcan Materials Client Details (Alabama employees Only)

Meta

Policies

Business Continuity Plan

Complaints and Grievance

Credentialing and Recredentialing

Insurance, Licensure and Certification

Locum Tenens

Medicaid & Medicare Compliance

Office Location Standards

Patient Rights and Responsibilities

Provider Dispute Resolution Procedure

Quality Assurance Program

Quality Management Program

Reimbursement

Services Subjected to Review/Audit

Submitting Patient Conditions Requirement

VSP Privacy Commitment

VSP Fraud, Waste and Abuse Policy

Use of The VSP^® Name and Logo

VSP Saving Statement

VSP Electronic Funds Transfer and Explanation of Payment Policies

Resources

Glossary