As the impact of the coronavirus grows, we would like to provide some important updates and to assure you that you are our top priority. During the public health emergency, we have made proactive outreach attempts and updated our online directories with the information received. However many providers did not respond and we have provided the results of our best efforts. If you need dental, eye care or hearing services and cannot locate a provider, please call us and we will assist you in finding a provider that is seeing patients during this public health emergency. Click here to learn more.
Served from Node: G-3U6MOS0BYX44K

Providers FAQs

  • Participation Questions

  • Who is Avesis?

    Avesis is one of the oldest and most respected vision care providers in the nation, with an extensive network of esteemed providers. Since 1978, we’ve provided essential vision, hearing, and dental benefits to small and large businesses, municipalities, government agencies, and even major medical providers.

  • Who does Avesis serve?

    More than eight million members of thousands of employer groups rely on Avesis for their vision care benefit coverage. And these are satisfied customers. We have a 98 percent retention rate—one of the highest in the business.

  • Why should I participate in your network?

    Because we insure so many members all over the country, and because Avesis members receive a higher level of benefit when visiting in-network providers, practices typically see an increase in new patients when they become a participating provider.

    Avesis offers our providers simple administrative processes. You can verify eligibility, submit claims, and check claim status through our secure web portal. We pay promptly for services rendered, and there is no fee to join our network.

  • What are the advantages of joining Avesis?
    • It's free.
    • Your practice will appear on our national provider directory.
    • Our plan designs are easy to administer.
    • Provider Specialists respond to your inquiries.
    • Our online and IVR tools are easy to use.
    • Our customer service staff is knowledgeable and courteous.
    • Clean claims have a speedy turnaround time.
  • How do I join?

    Becoming a participating provider is easy and trouble-free. Click the button below, and one of our recruiters will contact you shortly to help you with the easy application process and the agreements necessary for your state.

    Send us a Message

  • I am interested in joining the Avesis provider network; do you accept CAQH provider numbers?

    Avesis will accept your CAQH provider numbers in place of the provider application and credentialing documents. Click the button below, and one of our recruiters will be in touch shortly to assist you with a specific state-applicable fee schedule and information about any documents required to begin the credentialing process.

    Send us a Message

  • How long does the credentialing process take?

    Once Avesis receives all the necessary documents, you'll be credentialed in approximately 30–45 days. When you are approved, Avesis will mail you a welcome letter with your Provider Identification Number (PIN) and effective date.

  • How do I credential additional doctors in my practice?

    We try to expedite this process for new providers in participating practices as quickly as possible. Contact your Provider Services Representative for assistance.

  • How can I learn more?

    Click the link below to send us your question, and we'll be in touch soon.

    Send us a Message

  • Eligibility Questions

  • How do I verify eligibility without a member ID card?

    It's quick and easy. Using our website or our IVR system anytime, day or night, enter the member's name and date of birth. That's it! You can also contact the Avesis Customer Care Center at (800) 952-6674 Monday through Friday (holidays excepted) between 7:00 a.m. and 8:00 p.m. EST.

  • Can eligibility be verified after hours?

    Our website and IVR systems are available 24/7. We encourage you to verify coverage prior to the patient's appointment.

  • Provider Portal FAQ

  • How do I create my online account?

    When logging in for the first time to the updated Avesis portal, providers must create a new and unique username and password that is specific to each provider ID/PIN and tax ID number combination. A default username of PIN and Tax ID for each location is no longer available.

    You will need to select “Sign Up” from the Avesis Vision login box. This will take you to a page to enter your TIN and your Avesis PIN. This is the same TIN and PIN you previously used to log in.

    Upon entering your TIN and PIN, you will be asked to create your account. Follow these steps to create the account:

    • Select a provider associated with the location. This is the provider who will be linked to the account.
    • Create a username and password.
    • Set up your security questions. These security questions will be used to retrieve your password.
    • Select “Create Credential.” Go back to the main provider page, and log in with your new username and password.

  • How do I create a location account?

    You can create one account for locations that have multiple providers! This will allow you to submit claims for all providers at that location. To create this feature, follow these steps:

    • Select “Sign Up” from the Avesis Vision login box.
    • Enter your TIN and your Avesis PIN. This is the same TIN and PIN you previously used to log in.
    • Check the box next to “I am administering all providers’ claims in the service location” on the Create New Username and Password form.
    • Enter the contact information for the person who will be administering the claims for that location.
    • Verify that the service location entered matches the information for the location of the account.
    • Ensure that the Office Name is showing in the area under “Select a provider in the location.”
    • Create a username and password.
    • Set up your security questions. These will be used to retrieve your password.
    • Select “Create Credential.” Go back to the main provider page and log in with your new username and password.

  • The provider ID number I am using to create my username and password is not working. What should I do?

    Please call the Avesis Customer Care team at (800) 828-9341 for further assistance.

  • I created a new username and password, but our office’s old information is populating when we submit a claim. What should I do?

    Please contact our Customer Care team at (800) 828-9341 for further assistance to confirm that your account was created with the most up-to-date credentials to match our system.

  • How do I unlock my account?

    Your account will automatically unlock 10 minutes after the account is locked. Once it is unlocked, you will be able to enter your username and password.

  • How do I locate my password?

    If you forget your password, simply click on “Forgot your password” in the login box. You will be asked to enter the username, first name, and last name associated with the account. The next page will ask you to answer the security questions that you set up when you first created your account. If you answer correctly, you will be asked to create a new password.

  • How do I locate my username?

    Please call Customer Care at (800) 828-9341 to retrieve your username.

  • I am a Medicare and Medicaid Provider. How do I log in to submit a claim?

    Select Medicare/Medicaid in the login box on the Provider portal. Enter your username and password for your Medicare/Medicaid account, and click the “Log in to Medicare/Medicaid” box.

  • When I attempt to submit a claim with ICD-10 codes for a DOS of 10/1/15, why do I get an error stating invalid code?

    When submitting a claim, please be sure the user is capitalizing the H in all diagnosis codes and the V in all service codes. You must also remove the decimal from the diagnosis code. These adjustments should eliminate the error. Any claims with a date of service before 10/1/15 still require ICD 9 codes.