Q. How do I submit an out-of-network claim for reimbursement?

A. If you are eligible for services from an out-of-network provider, pay the entire bill at the time of services from the provider.
Then send the following information to VSP:

• An itemized bill listing the services you received
• The name, address and phone number of the out-of-network provider
• The covered member's Social Security number or VSP member identification number
• The covered member's name, phone number and address
• The name of the group that provides your VSP coverage
• The patient's name, date of birth, phone number and address
• The patient's relationship to the covered VSP member (such as "self," "spouse," "child," "student," etc