Member eligibility, panel listings, and reports

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

Attention Kansas Providers: Availity tools and services will be available for use beginning December 15th, 2024. Please contact our Provider Services team for more information.

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Access member listings and reports through Availity

Real-time member eligibility information and member reports are available exclusively through Availity. 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 provider, group, or IPA.

 

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Finding tools in Availity

Submit claims

  1. From the Availity homepage, select Claims & Payments from the top navigation.

  2. Select Type of claim from the drop-down menu.

 

Eligibility and benefits inquiry

To check member eligibility and benefits:

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

  2. Select Eligibility and Benefits Inquiry.

 

Member panel listings

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 tool.

 

To access member panel listings:

  1. From the Availity homepage, select Payer Spaces from the top navigation.

  2. Select the health plan tile.

  3. From the Payer Spaces homepage, select the Applications tab.

  4. From the Applications 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.

 

Member reports

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 tool.

 

To access member reports:

  1. From the Availity homepage, select Payer Spaces from the top navigation.

  2. Select the health plan tile.

  3. From the Payer Spaces homepage, select the Applications tab.

  4. From the Applications 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

Your organization’s administrator must complete this registration process and grant users in the organization access.

  1. From the Availity homepage, select Payer Spaces from the top navigation.

  2. Select the health plan tile.

  3. From the Payer Spaces homepage, select the Applications tab.

  4. From the Applications 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’ll be redirected and see the message, “Welcome to Provider Online  Reporting.

  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 homepage, select Payer Spaces from the top navigation.

  2. Select the health plan tile.

  3. From the Payer Spaces homepage, select the Applications tab.

  4. From the Applications 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.

Interested in becoming a provider in the Healthy Blue network?

We look forward to working with you to provide quality service for our members.

 

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