Modifying Insurance Plan Information for the VSP Interface

To set up a VSP insurance plan for the VSP interface, you need to record the plan's code in AcuityLogic Admin.

The following table lists the plan codes for many VSP insurance plans:

VSP Plan Plan Code

Access

Access

Access Indemnity

Access

Advantage

Advantage

Advantage Exam Plus with Allowance

Advantage Exam Plus with Allowance/Value Exam Plus with Allowances

Value Exam Plus with Allowance

Advantage Exam Plus with Allowance/Value Exam Plus with Allowances

Acute EyeCare

AEC/Diabetic Eyecare/DEP Plus

Diabetic EyeCare

AEC/Diabetic Eyecare/DEP Plus

Diabetic EyeCare Plus

AEC/Diabetic Eyecare/DEP Plus

Choice

VSP Choice Plan

Choice Exam Plus

Choice Exam Plus

Choice Exam Plus with Allowances

Choice Exam Plus with Allowances

Covered Contacts

Covered CL

Computer Vision Care (CVC)

CVC

Exam Plus

Exam Plus

Integrated Primary EyeCare Plan

IPEC

Medicaid

Medicaid

Primary EyeCare

PEC

Repair and Replace

Repair

Regional Network Plan

RNP

Safety EyeCare Plan

Safety EyeCare

Second Pair Plan

Second Pair

Signature

Signature

Value Exam Only

Value Exam Only

Value Plan

Value Plan

VDT EyeCare Plan

VDT

Vision Therapy

Vision Therapy

VSP Elements (Pediatric) Advantage

ELEMENTS-ADV

VSP Elements (Pediatric) Choice

ELEMENTS-CHO

VSP Elements (Pediatric) Signature

ELEMENTS-SIG

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 modify insurance plan information for the VSP interface

The following procedure covers the part of the setup process required to use the VSP interface. You may have completed some of the steps while setting up your company in AcuityLogic Admin. See Adding and Modifying Insurance Plans.

  1. In AcuityLogic Admin, click Insurance and select Plan.

    The Insurance Plan window opens.

  2. Search for a VSP plan and click the link in the Plan Name column.

    The fields for setting up the insurance plan appear.

  3. In the Plan Fields section, enter the plan code from the preceding table in the Plan Code field.
    Do not enter a plan code if you are setting up a dummy plan, such as VSP Coordination of Benefits or VSP Unknown Plan.
  4. If the plan’s eligibility and authorization rules are different from the carrier’s, select the Override Carrier Rule check box and record the plan’s eligibility and authorization rules in the Carrier Rules section.
  5. If the plan’s address is different from the carrier’s, select the Override Carrier’s Address Fields check box and record the plan’s address information in the Address Fields section.
  6. If the plan’s settings for the CMS 1500 form are different from the carrier’s, select the Override Carrier’s HCFA Settings check box and record the plan’s CMS 1500 settings in the HCFA Specific Fields section.
  7. Click Save.

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