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Some providers may not participate in all plans. current avēsis members must log in to view their actual list of participating providers.
When you make your appointment, make sure your provider offers all the services you may need.
California members are entitled to language interpretation services at no cost to the member. Language interpretation services may also be available for members outside of California. If you need language interpretation services, please call the member services phone number on your ID card.
Members are entitled to full and equal access to covered services, including members with disabilities, as required by the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973.
The information contained in the directory is accurate, to the best of the insurer’s knowledge, as of the date updated/printed, and covered or prospective covered persons should refer to the insurer’s electronic provider directory on its website. , or call the provider’s customer service phone number, for updated provider directory information.
To view the Avesis Colorado Network Access Plan, click here.
To view the colorado fsl network access plan for the Avesis network, click here.
Avesis Provider Network Criteria: Avesis evaluates each potential network during implementation to determine the number of providers needed for routine and specialty care based on the benefits offered. targets are set based on state or customer access requirements. If there are no state or customer access requirements, Avesis has established access standards to measure network adequacy. goals are set to dictate the appropriate number, specialty, and geographic proximity of the network to meet access requirements. Avesis uses geographic quest analytics software to assess compliance with established recruitment goals. All potential providers are asked to participate in the Avesis network until all recruitment goals are met. if there are gaps in network adequacy, Avesis will continue contracting activities until the network is complete, all provider options have been exhausted, or a provider shortage area has been documented. Avesis can negotiate enhanced rates, if necessary to meet network adequacy requirements. customer approval will be obtained as per customer contract. network exceptions will be well documented and presented to the customer in the event an access gap cannot be filled.
all providers must go through accreditation to be added to the network. Our accreditation process ensures a high-quality, efficient network of licensed providers that comply with all local, state, and federal regulations, including CMS and NCQA accreditation standards.
