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.

For multitenant environments, the following setup can be performed only by administrators of the parent company and is required only for the parent company. The parent company setup applies to all companies.

To set up VSP comment code details

  1. In AcuityLogic Admin, click Insurance and select Vsp Maintenance.

    The VSP Maintenance window opens.

  2. From the Select A Table drop-down list, select VSP Comment Code Detail .
  3. 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.
  4. 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.

  5. 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.
  6. From the Comment Code Item drop-down list, select a comment code item. See Comment Code Details Overview.
  7. In the Amount field, enter the amount of the benefit.
  8. Select the Amount Log check box, if needed.
  9. Select the Active check box to activate the comment code detail.
  10. Click Insert to add a new comment code detail.

    OR

    Click Update to update an existing comment code detail.

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