Once you've verified benefits and submitted a claim, we automatically generate and send claims to the vision plan. It's important to understand how (1) claim status and (2) claim follow up works.

Typical time from claim submission to reimbursement is roughly 3-4 weeks. This heavily depends on the time of year and the vision insurer.

There are a number of statuses that indicate where the claim is in its process:

Since we don't communicate directly with the insurer in terms of claim status, we're typically not able to get an update if the claim has been paid or not. However, if it's been 2-4 weeks and you haven't received the reimbursement, we recommend refreshing the patient benefits, if the benefits are now showing as used, that's a good indication that the claim was processed and we would recommend reaching out to VSP (for AOB) to request a check trace.

Before you begin filing claims with AOB, you should always update your patient paperwork to clarify your policies regarding discrepancies from vision plan reimbursements.

If this claim is not paid (or not paid in full), we recommend that you write off any discrepancies.

The patient can easily determine the status of their claim. Additionally, you can help patients by walking them through how to follow up on their claims.