Member eligibility and pharmacy overview
Member eligibility and rosters
Providers can view member rosters and other reports using the Provider Online Reporting tool accessed through Payer Spaces on the Availity website. You must have an Availity account and be assigned to the Provider Online Reporting tool to use it. Contact your organization’s Availity administrator if you need access.
To check member eligibility and benefits
- From the Availity homepage, select Patient Registration from the top navigation.
- Select Eligibility and Benefits.
Note: You will need to enter the member’s ID and date of birth.
Pharmacy information
Complete pharmacy information, including access to formularies, preferred drug lists (PDLs), prior authorization information and other related resources is available on our Pharmacy Information page.
Benefits partners
We work with several partners to provide our members with quality services. The Benefits Partners page provides links to all of our valued partners.
Provider tools & resources
- Log in to Availity
- Launch Provider Learning Hub
- Learn about Availity
- Prior Authorization Lookup Tool
- Prior Authorization Requirements
- Claims Overview
- Member Eligibility & Pharmacy Overview
- Policies, Guidelines & Manuals
- Referrals
- Forms
- Provider Training Academy
- Pharmacy Information
- Electronic Data Interchange
Interested in becoming a provider in the Wellpoint network?
We look forward to working with you to provide quality service for our members.
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