Do not forget or disregard this message:
Effective October 1, 2015, in accordance with
CMS requirements, claims and prior authorizations
with dates of service on or after October 1, 2015
must use the ICD-10 codes.
Avesis will no longer accept claims or prior
authorization requests with the ICD-9 codes with dates
of service on or after October 1, 2015.
click here for the new ICD-10 codes, or
click here for the ICD-10 Code Search.
If you have questions about the new requirements,
please email us at Avesis at
For Dental Practices, Only
Effective October 1, 2015, Avesis:
• will accept and process all ICD-10 codes
• will not accept ICD-9 codes unless they
are included in ICD-10
• does not currently require ICD-10 diagnostic codes
• will accept only the 2012 version of the ADA Claim Form
Claims submitted using prior claim form versions
will be returned unprocessed.
ICD-10 for Kentucky Dentists
Kentucky dentists who currently do not bill ICD-9
codes do not have to convert to ICD-10. However,
Kentucky Oral Surgeons currently billing ICD-9 codes
will be required to comply with ICD-10. For more
information about Kentucky Medicaid's implementation
of ICD-10, including how to test for readiness, please
visit the DMS ICD-10 website at
Our provider web portal gives Avesis providers
easy access to tools and information needed to
make administrative requirements a snap. Not a
member? Why not?
Because we’re growing at an impressive rate
(we now serve more than 8.5 million members),
participating with us means you’re likely to
experience your own growth, as our members are
encouraged to choose the services of a network
Learn more about the
advantages of adding your practice our robust network.
Verify a Member's Eligibility
- Here’s how easy it is: Enter the member’s
ID number, full name, and date of birth. Or
you can call our Provider Relations Customer
Service Center at (800) 828-9341 Monday through
Friday, 7:00 a.m. to 8:00 p.m.
- Manage Avēsis claims entirely online.
View a Member's Vision Plan
- Get information about your patients’ plans
before they even walk in the door. Here’s all
the information you need to ensure the highest
quality of service and patient care for our members.
Access Plan Administration Forms
- Get provider manuals, plan sheets, lab program forms, and more here.