Vision Prior Authorizations
Parkland Community Health Plan has contracted with Avēsis Third Party Administrators, Inc. to administer the eye care 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: www.avesis.com/Government3/Provider/Index.aspx
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 whether 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 Third Party Administrators, LLC
Attention: Eye Care Prior Authorization
P.O. Box 38300
Phoenix, AZ 85069
Note: The member’s 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, 1-800-569-1222
Provider Services
ProviderRelationsTXVision@avesis.com
Provider Services hours are Monday through Friday from 8 am - 5 pm CST (not including state holidays).
Member Services
To learn about PCHP’s member eligibility and benefits, or to find or change eye doctors, call Avēsis’ Member Services at 1-866-678-7113 or go to their website.
Find a provider: https://www.fap.avesis.com/PCHP/provider/search
