Member eligibility, panel listings, and reports

Member listings are available and include data accurate as of the close of business on the previous day.

Access member listings and reports through Availity Essentials

Real-time member eligibility information and member reports are available exclusively through Availity Essentials. Log in to access member-specific information.

The Panel Listing application is available to providers to research and download a complete list of past and current primary medical provider members assigned to a specific provider, group, or IPA.

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Finding tools in Availity Essentials

Submit claims

From the Availity Essentials homepage, select Claims & Payments from the top navigation.
Select Type of claim from the drop-down menu.

Eligibility and benefits inquiry

To check member eligibility and benefits:

From the Availity Essentials 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 access registration instructions in the Registration for Provider Online Reporting tool.

To access member panel listings:

From the Availity Essentials homepage, select Payer Spaces from the top navigation.
Select the health plan tile.
From the Payer Spaces homepage, select the Applications tab.
From the Applications tab, select Provider Online Reporting.
From the Provider Online Reporting page, select Member Panel Listings.

Member reports

To access member reports:

From the Availity Essentials homepage, select Payer Spaces from the top navigation.
Select the health plan tile.
From the Payer Spaces homepage, select the Applications tab.
From the Applications tab, select Provider Online Reporting.
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:

From the Availity Essentials homepage, select Payer Spaces from the top navigation.
Select the health plan tile.
From the Payer Spaces homepage, select the Applications tab.
From the Applications tab, select Provider Online Reporting.
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 Essentials homepage, select Payer Spaces from the top navigation.
Select the health plan tile.
From the Payer Spaces homepage, select the Applications tab.
From the Applications 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.

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