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Passive Verification: A Loophole Creating Serious Risk for Patients' Eyesight.

Ansh Shah1, Thomas L Steinemann

  • 1Case Western Reserve University School of Medicine (A.S., T.L.S.), Cleveland, OH; and Division of Ophthalmology (T.L.S.), MetroHealth Medical Center, Cleveland, OH.

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|November 12, 2025
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Summary
This summary is machine-generated.

Passive verification (PV) of contact lens prescriptions has a high error rate, with over 62% of requests being erroneous or expired. Amendments to the Contact Lens Rule have not improved these rates at this practice site.

Keywords:
Contact lensesFederal Trade CommissionPassive verification

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Area of Science:

  • Ophthalmology
  • Optometry
  • Healthcare Policy

Background:

  • Passive verification (PV) is a process for verifying prescription information.
  • The Contact Lens Rule aims to ensure patients receive correct contact lens prescriptions.
  • Previous studies indicated high error rates in PV requests.

Purpose of the Study:

  • To determine the frequency of incorrect or expired prescription facsimile (FAX) requests submitted for passive verification (PV).
  • To analyze error trends in PV requests at a specific practice site in Cleveland, OH.

Main Methods:

  • A retrospective analysis of 1,608 PV FAX requests submitted between January 1, 2019, and January 1, 2023.
  • Requests were collected from Metrohealth, a county hospital in Cleveland, OH.
  • Errors were categorized and compared to historical data from the same site.

Main Results:

  • Out of 1,608 requests, 681 (42.4%) were expired.
  • 165 requests (10.3%) were for patients not under the ophthalmologist's care.
  • 159 requests (9.9%) lacked proper fitting information or were incorrect, leading to an overall erroneous prescription rate of 62.5%.

Conclusions:

  • Passive verification (PV) continues to exhibit a high incidence of prescription errors.
  • Updates to the Contact Lens Rule have not led to a reduction in erroneous PV rates at this location.
  • Systemic issues, including limited provider review windows for third-party vendors, contribute to persistent PV errors.