Setting up and Mapping Products with the VSP Interface

This section covers the part of the product setup process that must be completed to process VSP lab orders and calculate patient benefits.

All products and services must be set up before you can include them on orders. To successfully send eyeglass lab orders through the VSP interface and accurately calculate a patient’s benefits, each eyeglass lens must be mapped to its corresponding Eyefinity and VSP Option codes. If any eyeglass lenses have coatings or edgings, the appropriate coatings and edgings must also be mapped to their corresponding Eyefinity and VSP Option codes.

When you receive AcuityLogic, your system already includes many lenses and other lens items that are mapped to their appropriate VSP codes. If you add any new lenses or lens items to AcuityLogic, be sure to map the new items by following the instructions in this section.

Mapping Eyeglass Lenses for the VSP Interface

This section explains how to map eyeglass lens products for the VSP interface.

To send eyeglass lab orders through the VSP interface, you must first map each lens, coating, tint, and edging to its Eyefinity and VSP option codes.

Many lens products in AcuityLogic are already mapped to codes. If you add lens products, you must map the new products.

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.

Topics include the following:

Mapping Eyeglass Lenses

  1. In AcuityLogic Admin, click Product, select Eyeglass Lens, and select Eyeglass Lens.

    The Eye Glass Lens window opens.

  2. Find the eyeglass lens to map.
  3. In the eyeglass lens row, click the Map Partners link.

    The Partner Mapping window opens.

  4. In the following rows, click Edit, enter the appropriate codes, and click Update:

  5. Click Return to close the Partner Mapping window.

Eyefinity (E-Claim) Codes for Eyeglass Lenses

If you use the VSP interface, you must enter the following Eyefinity (E-Claim) option codes to map eyeglass lenses:

Code Details Example Required/Optional
Code 1 Lens ID* FJ0M Required
Code 2

Vision Type

See Vision Type Option Codes.

5 Optional
Code 3

Material Type

See Material Type Option Codes.

2 Optional
Code 4             —             — N/A
Code 5             —             — N/A

*For information on finding Lens ID (Lens Style) codes, see Using the VSP Formulary Update to Find Product Codes.

Vision Type Option Codes

To specify a Vision Type option, use the following codes:

Vision Type Code
Single Vision 0
Bifocal 1
Trifocal 2
Quad 3
Double 4
Progressive 5
Near Variable Focus 6
Lenticular Single Vision 7
Lenticular Bifocal 8
Lenticular Trifocal 9

Material Type Option Codes

To specify a Material Type option, use the following codes:

Material Type Code
Glass 0
Polycarbonate 1
Plastic 2
Plastic Hi Index 3
Glass Hi Index 4
Plastic Mid Index 5
Trivex 6

 

VSP Option Codes for Eyeglass Lenses

If you use the VSP interface, you must enter the VSP option codes listed in the VSP Formulary spreadsheet to map VSP eyeglass lenses (see Using the VSP Formulary Update to Find Product Codes). In that spreadsheet, the VSP option codes are listed in the Lens Enhancement | VSP Option column for each lens style. For example, as shown in the following figure, the FJ0M lens style has two VSP option codes, FA and PR:

To map that lens style, put each of its option codes into a Code field in the Product Partner Mapping table’s VSP Option Codes row as shown in the following figure. A VSP lens style can have up to five option codes.

Eyefinity (E-Lab) Codes for Eyeglass Lenses

If you use the VSP interface, you must enter the following Eyefinity (E-Lab) option codes to map eyeglass lenses. If you send private pay orders (no VSP benefit coverage) to VSP labs using E-Lab, you need to update the Eyefinity (E-Lab) codes. You do not need to perform this task if you do not send these types of orders to VSP labs.

Code Details Example Required/Optional
Code 1

Vision Type

See Vision Type Option Codes.

5 Required
Code 2

Material Type

See Material Type Option Codes.

2 Required
Code 3

Lens ID*

FJ0M Required (Lens Style Code)
Code 4             —             — N/A
Code 5             —             — N/A

*For information on finding Lens ID (Lens Style) codes, see Using the VSP Formulary Update to Find Product Codes.

Mapping Eyeglass Coatings

  1. In AcuityLogic Admin, click Product, select Eyeglass Lens, and select Coating.

    The Eye Glass Lens Coating window opens.

  2. Find the coating to map.
  3. In the coating row, click the Map Partners link.

    The Partner Mapping window opens.

  4. In the following rows, click Edit, enter the appropriate codes, and click Update:

  5. Click Return to close the Partner Mapping window.

Eyefinity (E-Claim) Codes for Eyeglass Coatings

If you use the VSP interface, you must enter the following Eyefinity (E-Claim) option codes to map coatings:

Code Details Example Notes
Code 1              —              — N/A
Code 2              —              — N/A
Code 3 Lab Service Type* | Extra Add-on
AR Coating Required
Code 4 Lab Service ID*  A160 Required
Code 5              —              — N/A

*For information on finding Lab Service Type and Lab Service ID codes, see Using the VSP Formulary Update to Find Product Codes.

Eyefinity (E-Lab) Codes for Eyeglass Coatings

If you use the new VSP interface, you must enter the following Eyefinity (E-Lab) option codes to map coatings. If you send private pay orders (no VSP benefit coverage) to VSP labs using E-Lab, you need to update the Eyefinity (E-Lab) codes. You do not need to perform this task if you do not send these types of orders to VSP.

Code Details Example Notes
Code 1              —              — N/A
Code 2              —              — N/A
Code 3 Lab Service Type* | Extra Add-on
AR Coating Required
Code 4 Lab Service ID*  A160 Required
Code 5 VSP Option Code* QV Required

*For information on finding Lab Service Type, Lab Service ID, and VSP option codes, see Using the VSP Formulary Update to Find Product Codes.

Mapping Eyeglass Tints

  1. In AcuityLogic Admin, click Product, select Eyeglass Lens, and select Tint.

    The Eye Glass Lens Tint window opens.

  2. Find the tint to map.
  3. In the tint row, click the Map Partners link.

    The Partner Mapping window opens.

  4. In the following rows, click Edit, enter the appropriate codes, and click Update:

  5. Click Return to close the Partner Mapping window.

Eyefinity (E-Claim) Codes for Eyeglass Tints

If you use the new VSP interface, you must enter the following Eyefinity (E-Claim) option codes to map tints. If the Tint color is not an existing color option listed below and you have populated Code 5 as "Other", you must add a color description to Code 2.

Code Details Example Notes
Code 1              —              — N/A
Code 2              — Blue Required when Code 5 is OTHER
Code 3              —              — N/A
Code 4 Lab Service ID* for Tint Type BROW Required
Code 5 Lab ServiceID* for Tint Color OTHER Required
Code Details Example Notes
Code 1              —              — N/A
Code 2              — Blue N/A
Code 3              —              — N/A
Code 4 Lab Service ID* for Tint Type BROW Required
Code 5 Lab ServiceID* for Tint Color Brown 1 Required

*For information on finding Lab Service Type, Lab Service ID, and VSP option codes, see Using the VSP Formulary Update to Find Product Codes.

Eyefinity (E-Lab) Codes for Eyeglass Tints

If you use the new VSP interface, you must enter the following Eyefinity (E-Lab) option codes to map tints:

Code Details Example Notes
Code 1 Lens Enhancement Code* MP

(Required) MP relates to the gradient color of plastic dyes.

Code 2 Lab Service Description Other

(Required) Tint Color

See Tint Color Option Codes.

Code 3 Tint Level None (Optional) Tint Level: None/Match/Lighten/Darken
Code 4 Tint Sample Percentage 10 (Optional) Tint Sample Percentage
Code 5 Tint Other Color Description Gradient Blue Blocker Required when Code 2 is set to Other

*For information on finding Lens Enhancement codes, see Using the VSP Formulary Update to Find Product Codes.

Tint Color Option Codes

To specify a Tint Color option, use the following codes:

If the color is not listed in this table, use Other.
Tint Color Code 5
Brown 1 BROW
Brown 2 BROW2

Brown 3

BROW3

Crux A CRUXA
Crux AX CRUXX
G 15 G15
Gray 1 GRA1
Gray 2 GRA2
Gray 3 GRA3
Pink 1 PINK1
Pink 2 PINK2
Pink 3 PINK3
Rose 1 ROSE1
Rose 2 ROSE2
Rose 3 ROSE3
Other OTHER

Mapping Eyeglass Edgings

  1. In AcuityLogic Admin, click Product, select Eyeglass Lens, and select Edging.

    The Eye Glass Lens Edging window opens.

  2. Find an edging to map.
  3. In the edging row, click the Map Partners link.

    The Partner Mapping window opens.

  4. In the following rows, click Edit, enter the appropriate codes, and click Update:

  5. Click Return to close the Partner Mapping window.

You must enter the following Eyefinity (E-Claim) option codes to map edgings:

Code Details Example Notes
Code 1 E-Lab Code 1 SP01 Required
Code 2 Description High Luster Edge Polish Required
Code 3 Lab Service Type Edge Required
Code 4 Lab Service ID E1 Required

Eyefinity (E-Claim) Code 1 Mapping Values and Descriptions for edgings

Code 1 Value Description
SP01 High Luster Edge Polish
SP02 Roll and Standard Finish
SP03 Standard Finish
SP04 Roll and High Luster Polish
SQ01 Painted Groove
SQ02 Edge Coating
SR Faceted Lenses

 

Eyefinity (E-Lab) Codes for Eyeglass Edgings

If you send private pay orders (no VSP benefit coverage) to VSP labs using E-Lab, you need to Update the Eyefinity (E-Lab) codes. E-Lab mapping is the same as E-Claim. You do not need to perform this task if you do not send these type of orders to VSP labs.

You must enter the following Eyefinity (E-Lab) option codes to map edgings:

Code Details Example Notes
Code 1 E-Lab Code 1 SP01 Required
Code 2 Description High Luster Edge Polish Required
Code 3 Lab Service Type Edge Required
Code 4 Lab Service ID E1 Required

Eyefinity (E-Claim) Code 1 Mapping Values and Descriptions for Edgings

Code 1 Value Description
SP01 High Luster Edge Polish
SP02 Roll and Standard Finish
SP03 Standard Finish
SP04 Roll and High Luster Polish
SQ01 Painted Groove
SQ02 Edge Coating
SR Faceted Lenses

Mirror/Ski Coatings

You must enter the following Eyefinity(E-Claim) option codes to map Mirror/Ski Coatings:

Code Details Example Notes
Code 1 n/a n/a Not Required
Code 2 Mirror color/description if use lab service ID M22 (Other Mirror)   Required if Lab Service ID = M22
Code 3 Lab Service Type Mirror/Ski Coating Required
Code 4 Lab Service ID M3 Required

 

Eyefinity (E-Lab) codes for Mirror/Ski Coatings

If you send private pay orders (no VSP benefit coverage) to VSP labs using E-Lab, you need to Update the Eyefinity (E-Lab) codes. E-Lab mapping is the same as E-Claim. You do not need to perform this task if you do not send these types of orders to VSP labs.

You must enter the following Eyefinity (E-Lab) option codes to map Mirror/Ski Coatings:

Code Details Example Notes
Code 1 n/a n/a Not Required
Code 2 Mirror color/description if use lab service ID M22 (Other Mirror)   Required if Lab Service ID = M22
Code 3 Lab Service Type Mirror/Ski Coating Required
Code 4 Lab Service ID M3 Required

 

Mapping Contact Lenses

To send contact lens orders and claims through the VSP interface, you must map each lens to its corresponding Eyefinity code.

  1. In AcuityLogic Admin, click Product, select Contact Lens, and select Contact.

    The Contact Lens window opens.

  2. Find the contact lens to map.
  3. In the contact lens row, click the Map Partners link.

    The Partner Mapping window opens.

  4. In the following rows, click Edit, enter the appropriate codes, and then click Update:

    • Eyefinity (E-Claim) row. In the Code 1 field, enter the contact lens name that appears in the Contact Lens Catalogs on www.eyefinity.com.
    • VSP Option Codes row. In the Code 1 field, enter Other for all contact lenses.

  5. Click Return to close the Partner Mapping window.

Using the VSP Formulary Update to Find Product Codes

The VSP Formulary Update (also known as the Option Editor) is an Excel spreadsheet that contains the VSP Ophthalmic Product Formulary. It is administered by Plexus Optix, Inc., and updated about once a month. Initially, it contains only the upcoming formulary changes. For example:

Lens Style (see first column above and column B below) is sometimes called Lens ID.

Soon thereafter, a version containing all the active VSP formulary lenses, including recent updates (see each item’s Formulary Effective Date), is distributed. For example:

To get a copy of the current formulary or of the upcoming formulary changes, contact your account manager.

You can use either version of the formulary to find codes for VSP product options, such as the following:

  • VSP Eyeglass Lens Options
    • Manufacturer
    • Lens Style
    • Lens Enhancement | VSP Option
    • Vision Type
    • Material
    • Lens Description
    • Color Description
    • Surface Type
  • Lab Services and Lens Add-Ons
    • Manufacturer
    • Lab Service ID
    • Lens Enhancement | VSP Option Codes
    • Lab Service Type | Extra Addon
    • Lab Service Type Description
    • Brand Description

You can also find lens enhancement codes in the VSP Product Index in the VSP Provider Reference Manual on eyefinity.com.