VSP providers will receive their assigned fees for all services, except exams. For exams, the client has the following client-specific provider reimbursements.

• $57 Exam (includes refraction)

You will see the following message code for members of Disney Worldwide Services while reconciling your Explanation of Payment (EOP):

• CS = Service reimbursed per Client-Specific Fee Schedule. Please refer to the Client Detail page in the PRM for additional information.

Patients are not to be balanced-billed the difference between your assigned exam fee and the client-specific exam fee.

For assistance regarding your EOP and this custom exam reimbursement, contact VSP at 800.615.1883.