Get How To File Vsp Claim - Messa - Messa

This guide provides a step-by-step approach to completing the How To File VSP Claim - Messa - Messa form online. Ensuring accurate completion of the form is essential for timely reimbursement of vision care expenses.

Follow the steps to successfully complete your VSP claim form online.

1. Click ‘Get Form’ button to access the VSP claim form and open it in your preferred form editor.
2. Carefully fill out the member’s name, address, city, state, zip code, school district, and the member’s Social Security number. Ensure all details are accurate.
3. Input the patient’s name and their relationship to the member, along with the patient’s birth date.
4. Obtain fully itemized receipts from your Non-Panel Provider showing a breakdown of charges for examination, lenses, frames, and any additional materials.
5. Complete the section that lists the date of service for the exam and input the cost associated with each service (exam, lenses, frames).
6. Indicate the type of vision exam performed by checking the appropriate box for either Optometrist (OD) or Ophthalmologist (MD).
7. For lens costs, specify the type of lens (single vision, bi-focal, tri-focal, lenticular, or other) and input their respective costs.
8. In the frame section, list the cost of the frame and any additional materials, such as tint or Polaroid lens, along with their prices.
9. Once the form is fully completed, review all entered information for accuracy before finalizing.
10. Save your changes, download, print, or share the completed form as needed.

Complete your VSP claim form online today for a smooth reimbursement process.