Fill vision-plan and medical eye-care claims in your browser

One exam, two possible payers: bill routine vision to VSP or EyeMed, medical eye conditions to the carrier on a CMS-1500. Fill either form free, in your browser.

Eye care is the specialty where the same visit can go to two different payers, and picking the wrong form means a denial. A routine exam and materials usually run through a vision plan like VSP or EyeMed; a medical complaint — dry eye, glaucoma, a foreign body — goes to the patient's medical carrier on a CMS-1500. Materials add their own layer of V-codes for frames, lenses, and contacts. This free tool lets you open whichever claim form the visit calls for, type the exam codes, refraction, and material lines into place, sign it, and save a print-ready PDF. It runs locally, so no patient or plan data leaves the browser tab.

Frequently asked questions

Can it handle both vision-plan forms and medical CMS-1500 claims?+

Yes — upload a VSP or EyeMed vision claim form for routine visits and materials, or a CMS-1500 for medical eye conditions, and fill whichever one the visit needs.

What about billing frames, lenses, and contacts?+

Add the material lines and their V-codes wherever the form itemizes them — you place each field, so an optical order with several line items fills cleanly.

Where does the finished claim go?+

You download a clean PDF to print, upload to the plan's portal, or attach to a claim — nothing is submitted on your behalf, and nothing is stored.

Two payers, every exam?

dojobase can route each visit to the right form and auto-fill exam and materials claims from your optical POS and EHR — so vision and medical both go out clean.

Open the free Fill & Sign tool →