Filing a Claim
If you receive care from a VSP provider, the provider submits claims for you. If you receive services from a non-VSP provider, you pay the provider in full, and it's your responsibility to submit a claim to VSP for reimbursement. You may submit a claim without a form, but if you would like one, claim forms are available from VSP by phone or at the VSP Web site. (See Contact Information.)
When submitting any claim, you need to include your itemized bill. It should show:
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patient's name;
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provider's tax ID number;
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date of service and/or supply; and
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itemized charges from the provider for the services and/or supplies received.
You also need to provide:
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the employee's name (if different from the patient's); and
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the employee's Social Security number (or alternate ID if one has been requested).
For prompt payment, submit all claims as soon as possible. The vision plan will not pay a claim submitted more than 12 months after the date of service and/or supply. If you can't meet the 12-month deadline because of circumstances beyond your control, the claim will be considered for payment when accompanied by a written explanation of the circumstances.
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