Avesis
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Registration

Sign up for online billing and eligibility

Enter your Company Information

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Who will be administering these online services for your company?

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Usernames must meet the following criteria:
Must be at least 8 characters
Must be a combination of letters and numbers
Must NOT contain spaces or special characters (#?!@$%^&*-)
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If the administrator name entered above does not match that of the billing administrator currently on file, Avēsis must validate this request before proceeding.