Online Billing and Eligibility Sign-Up

Thank you for your interest in the Avesis online billing and eligibility function designed for our vision plan Benefits Managers. You are just a few easy steps away from signing up to begin taking advantages of the flexibility and convenience of managing your group’s vision plan electronically.

Simply complete each field below and hit submit to send your request. Your account set-up will be completed by an Avesis representative.

After Enrollment, You will be able to perform the following:

View, modify, print and verify your monthly invoices online
Maintain your groups eligibility securely online
Process all online transactions in real-time

Enter your Company Information

Carrier / Group Number:
Company Name:
Telephone:

Who will be administering these online services for your company?

First Name:
Last Name:

User Name (to log in):

E-Mail:
Confirm E-Mail:

What month would you like to begin utilizing our online services?

(The first month you would like to verify an invoice online )

NOTE: if the administrator name entered above does not match that of the billing administrator currently on file with Avesis, we must validate this request before proceeding.