Member eligibility, listings and reports
Member listings are available and include data accurate as of the close of business on the previous day. Real-time member eligibility information and member reports are available exclusively through the Availity Portal. Please log in to access member-specific information.
The Panel Listing tool is available to providers to research and download a complete list of past and current primary medical provider members assigned to a specific pro¬vider, group or IPA.
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Finding Tools on Availity
Eligibility and benefits inquiry:
To check member eligibility and benefits:
- From the Availity homepage, select Patient Registration from the top navigation.
- 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:
- From the Availity homepage, select Payer Spaces from the top navigation.
- Select the health plan.
- From the Payer Spaces home page, select the Resources tab.
- From the Resources tab, select Provider Online Reporting. If you don't see it in the list, se¬lect Next from the right-hand side at the bottom of the page.
- From the Provider Online Reporting page, select Member Panel Listings.
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:
- From the Availity 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.
Registration for provider online reporting:
Note: Your organization’s administrator must complete this registration process and grant users in the organization access.
- From the Availity home page, select Payer Spaces from the top navigation.
- Select the health plan.
- From the Payer Spaces home page, select the Resources tab.
- From the Resources tab, select Provider Online Reporting. If you don’t see it in the list, se¬lect Next from the right-hand side at the bottom of the page.
- Select I Agree on the disclaimer page.
You’ll be redirected and see the message, “Welcome to provider online reporting.”
- 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 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.