Pricing VSP Orders

The new VSP estimator provides cost estimates and patient out-of-pocket charges for all products, including lenses and frames, sold to patients under the following plans:

  • VSP Signature
  • Signature
  • VSP Choice
  • Exam Plus
  • Exam Only

The new VSP estimator provides all information in real time so patients can decide which products are right for them before making a final purchase. If patients change their minds and want to select other products, simply update the order or fee slip and recalculate the out-of-pocket expenses.

  • To use the new VSP estimator, you must use the VSP Interface. You must also use the Lens Product Loader to calculate ophthalmic lens benefits.
  • If the insurance plan is not one listed above but is a VSP plan, you can still retrieve copays, coverage information, and patient out-of-pocket expenses based on the insurance plan’s authorization and eligibility information.
  1. From an eyewear, soft lens, or hard lens order or from a fee slip window, click VSP Estimator to send product descriptions, fees, and wholesale costs (when necessary) to VSP Web Services and retrieve copays, coverage information, and patient out-of-pocket expenses.

    The Price Order window appears.

  2. In the window, review the calculations with the patient.

    (Optional) To print the calculations on the Price Quote with Insurance Coverage document, click Print.

    • Red text indicates that VSP returned no data for an item. For more information, hover your mouse over the item to display a tooltip.
    • To receive correct out-of-pocket calculations, a contact lens procedure code (92326, 92310, 92311, 92312) must be recorded in an exam record or on a fee slip with contact lenses.
    • If an ophthalmic lens does not have an option (such as a coating) mapped, OfficeMate adds the price of the option to the base cost of the lens so that you receive the correct out-of-pocket calculations.
    • If any item in a fee slip does not have a diagnosis code, the following message appears when you click VSP Estimator in the fee slip: “A diagnosis code is required.” To proceed, you must add the missing code.
    • Multiple or duplicate eyeglass lenses or lens attributes on the same order are combined into a single line item, with the total quantity shown in the Qty column.
    • Multiple or duplicate contact lenses on the same order are not combined into a single line item. However, the quantity entered for contact lenses on a single line item can be greater than two. (Contact lens quantities are per box, for example, one (1) 30 pack of contact lenses is expressed as QTY = 1, not 30.)
  3. Click Close when you finish reviewing the calculations.