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1. Full name (as it appears on insurance card or driver's license)
2. Date of birth
3. Address
4. Phone number
5. Employer and employment status

Ask for their vision plan information and who is the primary subscriber

1. If they are the subscriber, collect:
   1. Employer
   2. Last 4 of SSN
   3. Member ID
2. If they are not the subscriber, collect the primary subscriber's:
   1. Full name
   2. Date of birth
   3. Employer
   4. Last 4 of SSN
   5. Member ID

1. Patient's information for EHR
   1. Full name (as it appears on insurance card or driver's license)
   2. Date of birth
   3. Address
   4. Phone number
   5. Employer and employment status
2. Ask for their vision plan information and who is the primary subscriber
   1. If they are the subscriber, collect:
      1. Employer
      2. Last 4 of SSN
      3. Member ID
   2. If they are not the subscriber, collect the primary subscriber's:
      1. Full name
      2. Date of birth
      3. Employer
      4. Last 4 of SSN
      5. Member ID

H5213 - Myopia bilateral H5211 - Myopia, right eye H5212 - Myopia, left eye H52203 - Unspecified astigmatism, bilateral H5203 - Hypermetropia, bilateral

V2020 - Standard frames S0504 - Single vision prescription lenses S0506 - Bifocal prescription lenses V2781 - Progressive lenses 92014 - Established patient full eye exam S0512 - Daily contact lenses V2520 - Hydrophilic contact lenses

A cheat sheet to successfully use Access for vision plan billing

Access Quick Reference Guide

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Insurer	Last 4 of SSN	Member ID	Employer
VSP	✓	✓	✓
EyeMed		✓
Blue View Vision		✓
Aetna Vision		✓
Cigna Vision	✓	✓
Spectera	✓	✓
Superior Vision		✓
Davis Vision		✓

Access Quick Reference Guide

Suggested Patient Intake Information

ID Requirements for Claims

Common Diagnoses and Procedure Codes

ICD-10

CPT/HCPCS