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Medicaid & CHP Providers

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. 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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Need help with Availity?

Finding tools on Availity

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

Note: Your organization’s administrator needs to complete a separate registration to access this tool. Please see registration instructions in the "Registration for provider online reporting" section below.

To access member panel listings:

  1. From the Availity 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 do not 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

Note: Your organization’s administrator needs to complete a separate registration to access this tool. Please see registration instructions in the "Registration for provider online reporting" section below.

To access member reports:

  1. From the Availity 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 needs to complete this 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.
  3. From the Payer Spaces homepage, select the Resources tab.
  4. From the Resources tab, select Provider Online Reporting. If you do not 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.

  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 home page, 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.

Provider tools and resources

Interested in becoming a provider in the Highmark BCBSWNY network?

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

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