vsp patient record report 12/6/18.pdf

by Kaela McLaughlin 4 min read

VSP Patient Rights

16 hours ago Patients' Appeal Rights. You have the right to appeal if: You do not agree with VSP's decision about your health care. VSP will not approve or give you care you feel it should cover. VSP is stopping care you feel you still need. VSP normally has 30 days to process your appeal. >> Go To The Portal


What information is included in a VSP claim?

VSP claims contain the age and sex of patients, but do not include race/ethnicity. Medical diagnosis coverage in VSP claims are limited. Medical diagnoses are generally not required for payment, thus their inclusion in claims by the billing practice is optional. VSP claims cannot alone be considered as disease prevalence estimates.

What is the market penetration of VSP in my state?

VSP processes claims in every state, but market penetration varies by state. VSP’s national network contains about 33,000 eye care professionals. Approximately 85% are OD’s (optometrist), and 15% are MD’s (ophthalmologist). VSP claims contain the age and sex of patients, but do not include race/ethnicity.

What is the difference between a medical diagnosis and a VSP?

VSP claims are intended for billing purposes only. Diagnosis information included on claims is intended to justify payment. VSP provides payment primarily for routine eye exams and refraction correction, and therefore medical diagnoses are not generally required for payment.

Why choose VSP Vision Care?

VSP ® Vision Care. Vision care is personal and so is your relationship with your eye doctor. That's why we provide you with access to care from great eye doctors, quality eyewear, and the affordable care you deserve.

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What is VSP enrollment data?

VSP enrollment data is based primarily on employer-provided enrollment data, and may not accurately reflect the actual number of patients enrolled in VSP over the course of the year. In addition, some patient enrollment data is incomplete. In particular, state of residence is not always reported, with 8% of enrollees not having a state of residence on file. For the purposes of this analysis, we distributed patients with missing state in the denominators to a state based on the distribution of patients with known state location. We will continue to investigate possible approaches to improve state location coverage, and mitigate any potential bias of this limitation.

What is VSP data?

Generally, VSP data includes optometric exams and procedures, diagnoses (refractive errors, eye disease, systemic disease, acute issues), vision correction utilization, prescriptions and materials dispensed, costs, provider information, and patient demographics. VSP does not report their patient volume, but report that more than one in four ...

What is a vehss diagnosis?

VEHSS categorizes diagnosis codes into medical diagnosis categories and subgroups. Individual Medicare beneficiaries were assigned to diagnosis categories and subgroups based on International Classification of Diseases 10 (ICD10) diagnosis codes on any patient claim during the year of observation. As reported in the “ VEHSS Diagnosis Code Categories and Crosswalk

How many eye care professionals are there in VSP?

VSP processes claims in every state, but market penetration varies by state. VSP’s national network contains about 33,000 eye care professionals. Approximately 85% are OD’s (optometrist), and 15% are MD’s (ophthalmologist). VSP claims contain the age and sex of patients, but do not include race/ethnicity.

Does VSP cover race?

VSP claims contain the age and sex of patients, but do not include race/ethnicity. Medical diagnosis coverage in VSP claims are limited. Medical diagnoses are generally not required for payment, thus their inclusion in claims by the billing practice is optional.

Is VSP coverage nationally representative?

VSP data is a convenience sample and is not nationally representative, although on the basis of on our review, about 1 in 4 Americans have VSP coverage and VSP claims represent the majority of the overall US vision insurance market. VSP claims are intended for billing purposes only.

Does VSP link claims to enrollment data?

However, all claims are assigned to a state using the provider location, which is always known. VSP cannot directly link patient claims to enrollment data.

Can I update my VSP account?

You can update your vsp.com profile at any time. These changes only affect your vsp.com account, not your enrollment information. To make changes to your enrollment, contact your Benefits Administrator. left.

Does unregistering your VSP account change your insurance?

If you choose to unregister your vsp.com account, you will no longer have an online account or access to your plan information, previous visits, or savings information on vsp.com. Unregistering your online account does not change or impact your VSP vision insurance plan. UPDATE MY INFO.

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