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Avesis Provider Services
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Providers

Avesis providers have online capabilities to:

  • Verify a Member's Eligibility
  • Manage Claims
  • Download Provider Manual
  • View a Member's Vision Plan Description
  • Calculate a Member's Co-payment
  • Access Plan Administration Forms

Medicaid and Medicare

Avesis provides Medicaid and Medicare vision benefits in select states across the nation. Check here for additional information.

Join our Network

Avesis has over 5 million members and continues to add thousands more each month. As a participating Avesis provider, you will have the best opportunity to service these members. »


Medical Necessity Standards - Clinical Guidelines

When making determinations regarding requests for authorizations or payment of claims for certain procedures, Avesis uses the clinical criteria as set forth in InterQual. We also adhere to the guidelines established by the American Board of Ophthalmologists and the American Optometric Association, as appropriate. The links to the ABO and the AOA are provided for your reference: ABO and AOA