Avesis Help

[Pvtcjhalo]

While going through my Avesis EOB's I noticed we are paying about 10 dollars a patient to see Avesis members.

Example: 92004 ($85) Paid $35
Refract ($25) Paid $0
v2020 ($195) Paid $40
v2784 ($99) Paid $0
Total Paid by Avesis $75
Lab Back Charge (-)105

Pt Paid $60 OOP (So I get the whole sale of the frame and that is it)

Anyone else having probs like this or suggestions for me?

[Geirskogul]

We, after signing contract for more than 100 stores, had Avesis start adding write-offs and other BS into their EOBs. You have to accept the ones allowed by contract, but they have this nasty habit of doubling or just plain adding W/Os wherever the hell they feel like doing so.

Every few months this happens and we have to sic the legal department on them. Our contractual writeoff amount per exam is only $5 with avesis no matter what we charge for the exam.

[Pvtcjhalo]

One store private practice.....no legal team :( Monday morning will be doing a lot of math. We ended up droping Davis last year, Avesis may be going the same way.

[NeGlassesGirl27]

The office I worked at previously took Avesis and we were informed they started charging $10 per patient for us to see them. Needless to say...they dropped Avesis ASAP. I think it's asinine for a vision insurance company to charge a private practice to see patients but then again insurance rules the world and tells US what to do. :angry:

[MarySue]

The office I worked at previously took Avesis and we were informed they started charging $10 per patient for us to see them. Needless to say...they dropped Avesis ASAP. I think it's asinine for a vision insurance company to charge a private practice to see patients but then again insurance rules the world and tells US what to do. :angry:

Insurance companies don't rule the world, just Americans. We have public health care, ACC (Accident Compensation) and no one sues - no one becomes a millionairre based on their own stupidity (drinking coffee that's too hot and suing) ... Ah living in paradise

[NeGlassesGirl27]

Insurance companies don't rule the world, just Americans. We have public health care, ACC (Accident Compensation) and no one sues - no one becomes a millionairre based on their own stupidity (drinking coffee that's too hot and suing) ... Ah living in paradise

Insurance rules my world. They told me which hospital and doctor I had to use for a particular surgery I had done last Friday. :angry: