Eligibility and provider reports
Enrollee listings are available and include data accurate as of the close of business on the previous day. Real-time enrollee eligibility information and enrollee reports are available exclusively through the Availity Essentials* website. Log in to access enrollee-specific information.
Don’t have an Availity Essentials account?
Finding tools in Availity
Eligibility and benefits inquiry
To check enrollee eligibility and benefits:
- From the Availity Essentials homepage, select Patient Registration from the top navigation.
- Select Eligibility and Benefits Inquiry.
Enrollee panel listings
Note: There is 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.
To access enrollee panel listings:
- From the Availity Essentials homepage, select Payer Spaces from the top navigation.
- Select the health plan.
- From the Payer Spaces homepage, select the Resources tab.
- 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.
- From the Provider Online Reporting page, select Member Panel Listings.
Enrollee reports
Note: There is 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.
To access enrollee reports:
- From the Availity Essentials homepage, select Payer Spaces from the top navigation.
- Select the health plan.
- From the Payer Spaces homepage, select the Resources tab.
- 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.
- 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 access to users in the organization.
- From the Availity Essentials homepage, select Payer Spaces from the top navigation.
- Select the health plan.
- From the Payer Spaces homepage, select the Resources tab.
- 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.
- Select I Agree on the disclaimer page. You will be redirected and see the message, Welcome to provider online reporting.
Once you are redirected to the provider online reporting page
- Select Register/Maintain Organization to register your organization’s tax ID to the applicable program.
- Select Register Tax ID to register for the eligible program (member reports or panel listings).
- Select Maintain User/Register User to grant access to users.
- Complete all fields on the Register User page. Select ADD TO PREVIEW and Save.
- Go to Report Search, select the program, complete the required fields and select Search.
- A file should now be available.
To access provider online reporting for all users once registration is completed:
- From the Availity Essentials homepage, select Payer Spaces from the top navigation.
- Select the health plan.
- From the Payer Spaces homepage, select the Resources tab.
- From the Resources tab, select Provider Online Reporting.
- Select I Agree on the disclaimer page.
- Go to Report Search, select the program, complete the required fields and select Search.
- A file should now be available.
Provider tools & resources
- Log in to Availity Essentials
- Launch provider learning hub
- Learn about Availity
- Prior Authorization Lookup Tool
- Prior Authorization Requirements
- Claims Overview
- Eligibility & Pharmacy Overview
- Provider Manuals and Guides
- Provider Search Tool
- Forms
- Training Academy
- Pharmacy Information
- Electronic Data Interchange (EDI)