Specialty-benefit source scope
VSP vision-benefit workflow through the Eyefinity/VSP interface. Confirm the product and provider enrollment; non-VSP and medical claims use distinct workflows.
Check the specialty-benefit provider source · Partial source comparison 2026-09-26; not whole-record approval.
Other historical registry details below are not certified by this source-scoped comparison. Confirm the issuing company, applicable product and current instructions.
VSP at a glance
| Registry name (issuer must be confirmed) | Vision Service Plan |
|---|---|
| Stored aliases (identity not verified) | VSP Vision Care, Vision Service Plan |
| Category | Specialty benefits; confirm issuer and member product |
| Parent organization | Not verified by this product-source comparison |
| Specialty-benefit claims (source-scoped) | VSP vision-benefit workflow through the Eyefinity/VSP interface. Confirm the product and provider enrollment; non-VSP and medical claims use distinct workflows. |
| Eligibility (270/271) payer ID | VSP — registry reference; verify the member product, transaction and clearinghouse |
| ERA (835) payer ID | VSP — registry reference; verify the member product, transaction and clearinghouse |
| NAIC company code | Confirm the actual issuer; not verified by this comparison |
| States covered | Verify specialty, issuer, member product and state; not an insured-footprint certification |
| Provider resource entry point | https://www.eyefinity.com/ |
| Provider phone | 1-800-615-1883 |
Always verify claims-routing details against the member ID card and the payer's current EDI companion guide before submission.
Timely filing & appeals for VSP
This registry lists 365 days as an initial-claim reference for VSP. Confirm the applicable product, provider agreement, start event and current payer instructions. Do not apply this value automatically to out-of-network, secondary, corrected or appealed claims.
| Submission type | Window |
|---|---|
| Initial claim reference | 365 days (verify applicability) |
| Out-of-network initial claim | Verify the member's plan and applicable out-of-network rules |
| Secondary / coordination of benefits | Verify the allowed window and start event; a primary EOB does not automatically restart filing |
| Corrected claim | Verify correction instructions; do not substitute an appeal deadline |
| Reconsideration / appeal | Use the applicable denial or decision notice and the process below |
This registry has not established a payer-specific appeal ladder for VSP. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
Source: VSP provider policy. Always confirm before disputing a TFL denial — payer policies are versioned and product-specific.
Specialty-benefit authorization requirements with VSP
Confirm the specific benefit, member product, responsible plan and applicable pretreatment or authorization instructions. This reference does not establish a universal medical authorization clock.
Specialty-benefit policy entry point
VSP vision-benefit workflow through the Eyefinity/VSP interface. Confirm the product and provider enrollment; non-VSP and medical claims use distinct workflows. Verify eligibility (270/271), remittance (835) and any authorization transaction (278) separately for the issuing company, product and clearinghouse. Specialty-benefit resources do not certify those transactions. Registry flags are not current transaction-complete approval; an unverified field is not a finding that a service is unavailable.
Top denial reasons for VSP
Per-payer denial benchmarks publish here once the QuickIntell anonymized ETL pipeline ingests sufficient VSP volume. Until then, see the broader CARC reference for industry-wide remediation guides.
Electronic claims, eligibility & ERA
| Transaction | Registry indication — not verification | Routing reference |
|---|---|---|
| Specialty-benefit claims (source-scoped) | Listed in registry; verify current scope | VSP vision-benefit workflow through the Eyefinity/VSP interface. Confirm the product and provider enrollment; non-VSP and medical claims use distinct workflows. |
| 270 / 271 eligibility | Listed in registry; verify current scope | VSP — registry reference; verify the member product, transaction and clearinghouse |
| 278 prior authorization | Not established; verify separately | Verify X12 278 routing separately |
| 835 ERA | Verify support and enrollment separately | VSP — registry reference; verify the member product, transaction and clearinghouse |
Payer IDs vary by clearinghouse — confirm against your clearinghouse payer list (Availity, Change Healthcare/Optum, Waystar) before configuring submitter routing.
Source checks and remaining limits
The latest partial comparison is dated . Retained earlier findings keep their original dates below. This is a partial source check, not a whole-page, clinical or legal review. It does not refresh the legacy review date above.
portal_url
Source comparison: 2026-09-26
Official Eyefinity instructions direct VSP provider-reference access through eyefinity.com/VSP Online.
Primary source for portal_urlelectronic_claims_supported
Source comparison: 2026-09-26
The VSP interface explicitly submits VSP claims and obtains eligibility/authorization information; non-VSP claims use other workflows.
Primary source for electronic_claims_supportedrecord_scope
Source comparison: 2026-09-26
Keep the VSP vision interface separate from general medical/government claim submission.
Primary source for record_scope
Not checked in this pass: Whole-record approval, legal identity, ownership and complete product coverage; Authenticated transactions and QuickIntell integrations; provider_phone / timely_filing_days / payer_ids / era_payer_id / supports_279_271 / supports_278: The interface guide does not establish universal 365-day filing, national IDVSP for every transaction, provider phone, or X12 270/271/278..
Sources used for this guide
Evaluate QuickIntell workflow fit for VSP
These module references are evaluation starting points, not evidence of a validated connection, supported transaction or customer deployment. Confirm the actual member plan, data access and product scope first.
- QuickRCM
Evaluate claim preparation, follow-up and denial worklists for VSP; verify the actual plan rules and available connections before implementation.
- QuickERA
Verify the actual 835 files, posting exceptions and reconciliation requirements for VSP before evaluating automation. An ERA identifier alone does not establish supported ingestion or posting.
Frequently asked questions about VSP
What claims source scope does this VSP reference cover?
VSP vision-benefit workflow through the Eyefinity/VSP interface. Confirm the product and provider enrollment; non-VSP and medical claims use distinct workflows.
Where is the VSP provider portal?
Use https://www.eyefinity.com/ as a starting point for VSP provider resources. This link may open a directory or contact page rather than a transaction portal. Select the applicable product and administrator, then verify the available functions, enrollment and access requirements. QuickIntell is not the official payer portal.
What is the timely filing limit for VSP?
This registry lists 365 days as an initial-claim reference for VSP. Confirm the applicable product, provider agreement, start event and current payer instructions. Do not apply this value automatically to out-of-network, secondary, corrected or appealed claims.
What is the VSP payer ID?
Claims: VSP vision-benefit workflow through the Eyefinity/VSP interface. Confirm the product and provider enrollment; non-VSP and medical claims use distinct workflows.. Eligibility (270/271): VSP — registry reference; verify the member product, transaction and clearinghouse. ERA (835): VSP — registry reference; verify the member product, transaction and clearinghouse. Do not substitute a claims ID for an unverified transaction ID. Check current source findings and the member ID card before submitting.
Does VSP accept electronic claims?
VSP vision-benefit workflow through the Eyefinity/VSP interface. Confirm the product and provider enrollment; non-VSP and medical claims use distinct workflows. Verify eligibility (270/271), remittance (835) and any authorization transaction (278) separately for the issuing company, product and clearinghouse. Specialty-benefit resources do not certify those transactions. Registry flags are not current transaction-complete approval; an unverified field is not a finding that a service is unavailable.
How do I appeal a VSP denial?
This registry has not established a payer-specific appeal ladder for VSP. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
Which authorization requirements apply to VSP specialty benefits?
Confirm the specific benefit, member product, responsible plan and applicable pretreatment or authorization instructions. This reference does not establish a universal medical authorization clock.
What is the VSP provider phone number?
This registry lists 1-800-615-1883 as a contact reference for VSP. Confirm the number and service scope against the member ID card and current product-specific directory; claims, eligibility and authorization inquiries may use different teams.
Automate workflows around VSP requirements
Connect eligibility, prior authorization, pre-submission claim checks, and remittance routing in one governed workflow. Payer and plan configuration is confirmed during implementation.
Disclaimer
This page is operational reference for medical-billing professionals. It is not legal, clinical, or contractual advice. Payer policies change without notice — always verify against VSP's current published documents before submission. CPT® is a registered trademark of the American Medical Association.