Eligibility and provider reports

Finding tools in Availity

Eligibility and benefits inquiry

To check enrollee eligibility and benefits:

1. From the Availity Essentials homepage, select Patient Registration from the top navigation.
2. 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:

1. From the Availity Essentials homepage, select Payer Spaces from the top navigation.
2. Select the health plan.
3. From the Payer Spaces homepage, select the Resources tab.
4. 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.
5. 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:

1. From the Availity Essentials homepage, select Payer Spaces from the top navigation.
2. Select the health plan.
3. From the Payer Spaces homepage, select the Resources tab.
4. 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.
5. 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.

1. From the Availity Essentials homepage, select Payer Spaces from the top navigation.
2. Select the health plan.
3. From the Payer Spaces homepage, select the Resources tab.
4. 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.
5. 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

1. Select Register/Maintain Organization to register your organization’s tax ID to the applicable program.
2. Select Register Tax ID to register for the eligible program (member reports or panel listings).
3. Select Maintain User/Register User to grant access to users.
4. Complete all fields on the Register User page. Select ADD TO PREVIEW and Save.
5. Go to Report Search, select the program, complete the required fields and select Search.
6. A file should now be available.

To access provider online reporting for all users once registration is completed:

1. From the Availity Essentials homepage, select Payer Spaces from the top navigation.
2. Select the health plan.
3. From the Payer Spaces homepage, select the Resources tab.
4. From the Resources tab, select Provider Online Reporting.
5. Select I Agree on the disclaimer page.
6. Go to Report Search, select the program, complete the required fields and select Search.
7. A file should now be available.