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 Vision Prior Authorizations - Excel   

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)

Provider Services 

avesis.com 

ProviderRelationsTXVision@avesis.com 

1-866-563-3591 

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