Finding tools on Availity
Eligibility and benefits inquiry
To check member eligibility and benefits:
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From the Availity homepage, select Patient Registration from the top navigation.
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Select Eligibility and Benefits Inquiry.
Member panel listings
Note: There’s a separate registration your organization’s administrator needs to complete to access this tool. Please see registration instructions in the Registration for provider online reporting section below.
To access member panel listings:
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From the Availity homepage, select Payer Spaces from the top navigation.
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Select the health plan.
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From the Payer Spaces homepage, select the Resources tab.
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From the Resources tab, select Provider Online Reporting. If you don't see it in the list, select Next from the right-hand side at the bottom of the page.
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From the Provider Online Reporting page, select Member Reports.
Member reports
Note: There’s a separate registration your organization’s administrator needs to complete to access this tool. Please see registration instructions in the Registration for provider online reporting section below.
To access member reports:
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From the Availity homepage, select Payer Spaces from the top navigation.
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Select the health plan.
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From the Payer Spaces homepage, select the Resources tab.
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From the Resources tab, select Provider Online Reporting. If you don’t see it in the list, select Next from the right-hand side at the bottom of the page.
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From the Provider Online Reporting page, select Member Reports.
Registration for provider online reporting
Note: Your organization’s administrator must complete this registration process and grant users in the organization access.
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From the Availity homepage, select Payer Spaces from the top navigation.
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Select the health plan.
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From the Payer Spaces homepage, select the Resources tab.
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From the Resources tab, select Provider Online Reporting. If you don’t see it in the list, select Next from the right-hand side at the bottom of the page.
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Select I Agree on the disclaimer page.
You’ll be redirected and see the message, “Welcome to provider online reporting.”
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Select Register/Maintain Organization to register your organization’s tax ID to the applicable program.
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Select Register Tax ID to register for the eligible program (member reports or panel listings).
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Select Maintain User/Register User to grant access to users.
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Complete all fields on the Register User page. Select ADD TO PREVIEW and Save.
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Go to Report Search, select the program, complete the required fields and select Search.
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A file should now be available.
To access provider online reporting for all users once registration is completed:
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From the Availity homepage, select Payer Spaces from the top navigation.
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Select the health plan.
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From the Payer Spaces homepage, select the Resources tab.
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From the Resources tab, select Provider Online Reporting.
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Select I Agree on the disclaimer page.
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Go to Report Search, select the program, complete the required fields and select Search.
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A file should now be available.