The SERVICE PROVIDER understands that American Vision Health Plus (AVHP) is not an insurance company. It is a DISCOUNT driven membership program. The Service Provider understands that there are no fees to partake in the network.The network includes providers of: _______________________________________________________________
The Service Provider determines the discount of service(s) and/or product(s) offered. A NETWORK MEMBERSHIP DISCOUNT sheet is attached to facilitate selections. If at any time the Service Provider changes the fee or type of discount, the provider will submit changes to AVHP via fax, email or letter to amend this agreement. AVHP will reply with confirmation of updates to the Service Provider.  
The Service Provider understands that these discounts are offered to members only. AVHP is not a payer and not responsible for any payments or reimbursements of such services provided to the members. All payments for services rendered are paid by the member presenting the AVHP discount card, on the day of service, based upon the Service Provider’s pre-established discount price(s). 
The Service Provider also agrees to allow web link access to AVHP members from the membership web page. AVHP is permitted to publish information about the Service Provider for the purpose of promoting the products and services offered for AVHP members only. AVHP will not share the service providers’ customary fees and discount offers with any other institution, competitor, or other organization, contained in this agreement. 

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For Office use only
AVHPLUS Rep._______________________________________

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Member as Of._______________________________________

Date Renewal ________________________________________

Provider         ________________________________________         
Double click here to add text.If you are not in our network of suppliers, it is a plessure for us to extended an invitation yo you to be a part of our company,American Vision Health Plus as our service provider.
American Vision Health Plus has been helping the community since 1996 to establish the best medical service discounts to people who do not have health insurance coverage within the United States and Puerto Rico.

American Vision Health Plus is a medical discount program designed to provide many levels of savings on medical visits, procedures, surgery, diagnostic and lab tests. The current systems of cost for medical services are on a rise.Most of the time people are not able to pay the copayments and additional medical costs, so that doctors aren't paid.

American Vision Health Plus medical care discounts program is essential for all people and families who are not insured or insufficiently insurance because it provides them an alternative to the high costs of medical care and help the provider' financial dilema.

The Benefits of participation as a provider.

Provider who welcome American Vision Health Plus members will not have to wait for their money. Normaly, doctor expect to wait an extended period of time for reimbursements from insurance companies for payment of services previously given, but not necessarily the full amount. The members of American Vision Health Plus pay at the time of receiving services, reducing the time and costs of medical ataff to bill insurance companies.

No additional documentation required

Since the patients of American Vision Health Plus pay at the end of the visit- The transaction is finalized right there and then and does not require additional docomentation. This is going to bring savings in materials, time, and resources to the provider.
Tel. 800-370-7054
Fax:407-350-5749
NETWORK MEMBERSHIP AGREEMENT
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American Vision
Health Plus