Parkland Community Health Plan has contracted with Avēsis Third Party Administrators, Inc. to administer the eyecare benefits for our Texas STAR Medicaid and CHIP members.   

To learn more about Provider Contracting with Avēsis, visit www.avesis.com/Government3/Provider/ProviderContracting.aspx

Avēsis Provider Portal

Key Functions:

  • Submit claims and/or pre-authorizations
  • Check claim or pre-authorization status
  • Correct claims
  • Submit grievances and appeals
  • View provider-related documents
  • Review remittance advice -EOP 
  • View member eligibility/plan benefits and grids
  • Access fee schedules
    • Note: The fee schedule indicates if prior authorization is required for a procedure.
  • Knowledge Center for training materials
  • Message Center for Avēsis correspondence

Prior Authorization

Avēsis Vision Prior Authorizations - PDF 
Avēsis Vision Prior Authorizations - Excel  

Avēsis Third Party Administrators, LLC
Attention: Eye Care Prior Authorization
P.O. Box 38300
Phoenix, AZ 85069

Note: The members assigned health plan will be responsible for prior authorizations and paying of ambulatory surgical center (ASC) and hospital surgical facility costs, in addition to the cost of anesthesia associated with the surgery performed in the surgical facility.

Claims Information

Avēsis Third Party Administrators
P.O. Box 38300
Phoenix, AZ 85069-8300

  • Attention: Vision Claims
  • Attention: Post Review
  • Attention: Corrected Claims
  • Attention: Appeal

Electronic Payer ID

  • Change Healthcare (formerly Emdeon)
    • Payer ID 87098
    • www.ChangeHealthcare.com, 615-932-3000
  • Trizetto
    • Payer ID 87098
    • www.Trizetto.com, 800-569-1222

Provider Services

Member Services