| Providers - West Virginia

Member eligibility, listings and reports

Member listings are regularly updated and include member data that is up-to-date as of the close of business on the previous day. These real-time member eligibility and status reports are available exclusively through the Availity Portal.* Log in to access member-specific information.

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* Availity, LLC is an independent company providing administrative support services on behalf of UniCare Health Plan of West Virginia, Inc.

Finding tools in Availity

How to submit an Eligibility and Benefits Inquiry in Availity:

1. From the Availity homepage, select Patient Registration from the top navigation.
2. Select Eligibility and Benefits Inquiry.

Member panel listings

Providers can use the Panel Listing tool to research and download a complete list of past and current primary medical provider members assigned to a specific provider, group or IPA.

Note: There is a separate registration your organization’s administrator needs to complete to access the Member Panel Listings tool in Availity. If your organization hasn’t completed this initial registration, please refer to the registration instructions in the Registration for provider online reporting in Availity section below to get started.

How to access member panel listings in Availity:

  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 is a separate registration your organization’s administrator needs to complete to access the Member Reports tool in Availity. If your organization hasn’t completed this initial registration, please refer to the registration instructions in the Registration for provider online reporting in Availity section below to get started.

How to access member reports in Availity:

  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 in Availity

Note: Your organization’s administrator must complete the registration process below and grant users in the organization access. Administrators, please note you will need your organization’s Tax ID to complete registration.
  1. From the Availity homepage, select Payer Spaces from the top navigation.
  2. Select the appropriate 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. 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 UniCare network?

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

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