ALERT: When logging in for the first time, only, Avesis vision providers must create a new username and password. Click here to register, or see our FAQs for more information.

****IMPORTANT FOR AVESIS VISION PARTICIPATING PROVIDERS SIGNING ON TO THE ENHANCED PORTAL FOR THE FIRST TIME****

Avesis has replaced the TIN & PIN combination, which providers have been using to log into the system,  with a username and password. In order to implement our enhanced security measures, your initial user experience will include an extra step, but it’s one that is necessary.

Please review the Provider Portal FAQs before you begin.  To begin, click “Sign In.” You will log in with your TIN & PIN to make the changes. And just as you do now, if you have more than one location, you will need to create a unique username for each. 

Provider Reminder

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.

Please 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 ICD10@avesis.com.


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 https://www.chfs.ky.gov/dms/ICD10.htm



Welcome

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 provider.

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 Claims

  • 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.