Professional Provider Fee Schedule notification

We are happy to provide the 2024 Professional Provider Fee Schedule with the option to download through the Availity Essentials platform.

Starting in May 2024, professional providers who have been enrolled at that time will be able to review their upcoming fee schedule update that will go into effect as of July 1, 2024, and can be accessed through the reporting function in Availity Essentials. You can log into Availity.com and download a digital copy of your fee schedule.

To be ready for the digital downloads, log in to Availity Essentials, access the Provider Online Reporting (POR) application, and register your authorized users.

See details below on how to log in and access your reports.

Provider Online Reporting Reference Guide

How to get started

This document will familiarize you with the POR application found on the Availity Essentials platform. Using our web-based POR application, you will be able to access your updated fee schedule:

• For Availity Essentials administrators – How to assign access
• For users – How to navigate to the reports

If your organization is not currently registered for Availity Essentials, go to Availity.com and select Get Started to complete the online application.

Your administrator will need to take the following steps to assign access to POR:

1. Assign the user role of POR to user’s Availity access.
2. Select Payer Spaces in the top menu bar and select the payer tile that corresponds to the market.
3. First-time users accessing Payer Spaces will be asked to accept a Terms of Use Agreement. The agreement will appear for users once every 365 days.
4. On the Applications tab, select Provider Online Reporting.
5. Select an organization and select Submit.
6. On the Welcome to Provider Online Reporting page, select Register/Maintain Organization.
7. Select Register Tax ID(s) for the applicable program to register the tax IDs.
8. A pop-up window will display all tax ID(s) that need to be registered for the program. Check the box for each tax ID to be registered and select Save.
9. The tax ID registration has been successfully completed. Notice after the registration has been completed, the status has changed from Register Tax ID(s) to Edit Tax ID(s).
10. Under the Maintain User menu in POR, select Register Users to register the user to access the Fee Schedule.

Accessing reports:

1. Log in to Availity.com.
2. Choose Payer Spaces in the top menu bar.
3. Select the payer tile that corresponds to your market.
4. Accept the User Agreement (once every 365 days).
5. On the Applications tab, select Provider Online Reporting.
6. Select organization and choose Submit.
7. Select Report Search, choose the type of report, and then launch your program’s reporting application:

a. The Home page in Provider Online Reporting will open. This page lists all programs the organization is eligible for. Use the navigation options on the left side of the page to easily move around within the tool.

b. The Programs page provides a description of the program your organization participates in and includes helpful documents related to your program, if applicable. Select a program using the drop-down menu.

c. The Report Search page launches the corresponding reporting application for your program. Select the appropriate program from the drop-down menu.

Helpful tip: Save Provider Online Reporting as a favorite:

1. Log in to Availity.com.
2. Choose Payer Spaces in the top menu bar.
3. Select the payer tile that corresponds to your market.
4. On the Applications tab, select the heart icon next to Provider Online Reporting so it fills in and turns red.
5. Now Provider Online Reporting will appear at the top under the My Favorites drop-down.

Questions:

• Regarding the Availity Essentials platform, contact Availity Client Services at 800-282-4548.
• About POR, use the Contact Us section of the application.
• If you have other questions, contact your local provider relationship management associate.