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. Availity is an independent company that provides a secure portal on behalf of BlueChoice HealthPlan. 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 members assigned to a specific provider, group or independent practice association (IPA).


Don't have an Availity account?

Finding tools on the Availity Portal

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: 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:

  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 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:

  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 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.
  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, se-lect 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.
  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 & Resources

Interested in becoming a provider in the Healthy Blue network?

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