Maintaining VSP Comment Code Details
This section explains how to maintain and set up VSP comment code details.
Topics include the following:
Comment Code Details Overview
Each VSP comment code is made up of comment code items and benefit amounts.
A comment code item is a program that indicates the item types and benefits affected by the comment code. The benefit amount that you add to a comment code indicates the patient’s benefit. For example, the following table breaks down the comment code D003:
Comment Code Details | Description |
---|---|
D003 |
Name of the comment code |
FRALLOW |
The benefit is a frames allowance |
$45 |
The patient has a $45 frames allowance |
The following table describes the programs listed in the Comment Code Item drop-down list:
Comment Code Item | Description |
---|---|
PGLNALLOW |
Progressive lens allowance |
PGLNCOPAY |
Progressive lens copay |
TFLNALLOW |
Trifocal lens allowance |
EXCEPTION |
Exception; refer to the comment code description for the benefit details |
BFLNCOPAY |
Bifocal lens copay |
LTLNCOPAY |
Lenticular lens copay |
FRALLOW |
Frames allowance |
MATCOPAY |
Materials copay |
EXDISC |
Extended discount |
FRLNALLOW |
Frames and lens allowance |
TNALLOW |
Tint Allowance |
CLDISC |
Contact lens discount |
CUSTOMARY |
Special Program (Do not use) |
DISCPER |
Discount percentage |
TOTALLOW |
Total allowance |
CLLNCOPAY |
Contact lens and lens copay |
TOTCOPAY |
Total copay |
TRLNALLOW |
Trifocal lens allowance |
LNLNCOPAY |
This comment code is currently undergoing development and does not offer any functionality at this time. |
CLEXCOPAY |
Copay for the Contact Lens Exam Copay with Materials Allowance program |
SVLNCOPAY |
Single vision lens copay |
EXCOPAY |
Exam copay |
CLTOTCOPAY |
Contact lens total copay |
VSPLAB |
Send orders to a VSP lab |
EGMESSAGE |
Special instructions for eyeglasses; refer to the comment code description for details |
TFLNCOPAY |
Trifocal lens copay |
EXALLOW |
Exam allowance |
CLLNALLOW |
Contact lens and lens allowance |
CLMESSAGE |
Special instructions for contact lenses; refer to the comment code description for details |
LTLNALLOW |
Lenticular lens allowance |
FRCOPAY |
Frames copay |
BFLNALLOW |
Bifocal lens allowance |
PLLNALLOW |
Plano lens allowance |
SVLNALLOW |
Single vision lens allowance |
CLEXALLOW |
Allowance for the Contact Lens Exam Copay with Materials Allowance program |
When you receive AcuityLogic, all VSP comment codes and comment code details are set up for you. If VSP adds a comment code that you need to add, first set up the comment code by following the instructions in Maintaining VSP Comment Codes. Then, add the details to the comment code by following the instructions in Setting Up VSP Comment Code Details.
Setting Up VSP Comment Code Details
For each comment code you add in the VSP Maintenance module, you can add the comment code items and benefit amounts in the VSP Comment Code Detail section. For information on adding comment codes, see Maintaining VSP Comment Codes.
To set up VSP comment code details
- In AcuityLogic Admin, click Insurance and select Vsp Maintenance.
The VSP Maintenance window opens.
- From the Select A Table drop-down list, select VSP Comment Code Detail .
- To filter the comment code IDs and comment code items, enter a comment code ID in the Comment Code ID field, enter a comment code item in the Comment Code Item field, click the Filter button for each, and select one of the following options for each:
- NoFilter: Clears a previous filter and displays all results.
- Contains: Displays results that contain the information entered.
- StartsWith: Displays results that start with the information entered.
- EqualTo: Displays results that match the information entered exactly.
Capitalize all letters when you type the code and code item in the fields. - To add a new comment code detail to the table, click Add VSP Comment Code Detail.
OR
To modify an existing comment code detail, click Edit next to the comment code detail.
- In the Comment Code ID field, enter the comment code ID. Capitalize all letters in the VSP comment code when you type the code in the Comment Code ID field.
- From the Comment Code Item drop-down list, select a comment code item. See Comment Code Details Overview.
- In the Amount field, enter the amount of the benefit.
- Select the Amount Log check box, if needed.
- Select the Active check box to activate the comment code detail.
- Click Insert to add a new comment code detail.
OR
Click Update to update an existing comment code detail.