VSP Calculator – Signature

VSP Signature Lenses

AR
Progressive
Material
VSP INN Reimbursement
$
PT OON Benefits Lenses
$
Materials Copay
$

VSP Signature Frames

PT Frame Allowance
$
Retail Frame Cost
$
Retail Discount
%
PT OON Benefits Frames
$

VSP Signature Exam

PT Co Pay
$
VSP Reimbursement
$
PT OON Benefits Exam
$
VSP Signature Lenses, Frame, and Exam In Network Out of Network With TGC
Patient Pays Practice Profit Patient Pays Practice Profit OON Reimbursement Patient Pays Practice Profit OON Reimbursement
Lenses {{lenses_in_network_patient_pays_total | currency}} {{lenses_in_network_practice_profit_total | currency}} {{lenses_out_of_network_patient_pays_total | currency}} {{lenses_out_of_network_practice_profit_total | currency}} {{lenses_with_tgc_patient_pays_total | currency}} {{lenses_with_tgc_practice_profit_total | currency}}
Frames {{d9 | currency}} {{f9 | currency}} {{g9 | currency}} {{i9 | currency}} {{j9 | currency}} {{k9 | currency}} {{m9 | currency}} {{n9 | currency}}
Exam {{d10 | currency}} {{f10 | currency}} {{g10 | currency}} {{i10 | currency}} {{j10 | currency}} {{k10 | currency}} {{m10 | currency}} {{n10 | currency}}
Totals {{d11 | currency}} {{f11 | currency}} {{g11 | currency}} {{i11 | currency}} {{j11 | currency}} {{k11 | currency}} {{m11 | currency}} {{n11 | currency}}
OON Reimbursement     {{j11 | currency}}     {{j11 | currency}}    
Net Cost     {{g14 | currency}} {{i14 | currency}}   {{k14 | currency}} {{m14 | currency}}