guide to the provider online reporting application · to support those efforts, our provider online...

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GUIDE TO THE PROVIDER ONLINE REPORTING APPLICATION Blue Cross and Blue Shield of Minnesota and Blue Plus

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Page 1: GUIDE TO THE PROVIDER ONLINE REPORTING APPLICATION · To support those efforts, our Provider Online Reporting site offers you access to meaningful information and creates the opportunity

GUIDE TO THE

PROVIDER ONLINE

REPORTING APPLICATION

Blue Cross and Blue Shield of Minnesota and Blue Plus

Page 2: GUIDE TO THE PROVIDER ONLINE REPORTING APPLICATION · To support those efforts, our Provider Online Reporting site offers you access to meaningful information and creates the opportunity

OVERVIEW: PROVIDER ONLINE REPORTING

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Page 3: GUIDE TO THE PROVIDER ONLINE REPORTING APPLICATION · To support those efforts, our Provider Online Reporting site offers you access to meaningful information and creates the opportunity

As a provider in our network, you are committed to providing quality,

patient-centered care to your patients while managing medical costs.

To support those efforts, our Provider Online Reporting site offers you

access to meaningful information and creates the opportunity for your

team to effectively manage the health and wellness of your patients.

The reports and information available through Provider Online Reporting

can be accessed via the Availity Portal. Visit https://www.availity.com to

register or log in.

PROVIDER ONLINE REPORTING OVERVIEW

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Page 4: GUIDE TO THE PROVIDER ONLINE REPORTING APPLICATION · To support those efforts, our Provider Online Reporting site offers you access to meaningful information and creates the opportunity

Pop-ups accessed from the Availity Portal, such as Availity Help Topics and third-party

websites, might not open if you have a pop-up blocker activated. Pop-up blockers may be

part of your browser or a separate application such as a third-party browser toolbar or

antispyware software.

On the following slides are instructions for enabling pop-ups from the Availity Portal are for

Internet Explorer 11, Firefox and Google Chrome. If you use an application other than

your browser to control pop-ups, refer to that application's user documentation for assistance.

If you access third-party websites from the Availity Portal, add those sites as well.

You will need to enable these websites:

• https://apps.availity.com

• https://www.availity.com

• www.mc.availity.com

• www.careprescribe.scripttone.com

POP-UP BLOCKERS

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Page 5: GUIDE TO THE PROVIDER ONLINE REPORTING APPLICATION · To support those efforts, our Provider Online Reporting site offers you access to meaningful information and creates the opportunity

Internet Explorer

1. In the Internet Explorer menu bar, select Tools > Pop-up Blocker > Pop-up

Blocker Settings.

2. In the Pop-up Blocker Settings dialogue box, type the websites on slide 4, one

at a time, in the Address of website to allow field, selecting Add after each

address.

3. Select Close.

POP-UP BLOCKERS (CONT.)

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Page 6: GUIDE TO THE PROVIDER ONLINE REPORTING APPLICATION · To support those efforts, our Provider Online Reporting site offers you access to meaningful information and creates the opportunity

Firefox

1. Select Tools > Options in the Firefox menu bar.

2. Select Content at the top of the Options dialogue box.

3. Is the Block pop-up windows check box selected?

• Yes — Select Exceptions and continue to step 4.

• No — Firefox will not block any pop-up windows. Select OK to close the

dialogue box. No further action is necessary.

4. In the Allowed Sites – Pop-ups dialogue box, type each allowed website

address (listed on slide 4) in the Address of website field. Select Allow after

entering each address.

5. Select Close in the Allowed Sites – Pop-ups dialogue box, and then

select OK in the Options dialogue box.

POP-UP BLOCKERS (CONT.)

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Page 7: GUIDE TO THE PROVIDER ONLINE REPORTING APPLICATION · To support those efforts, our Provider Online Reporting site offers you access to meaningful information and creates the opportunity

Google Chrome

1. Select the orange icon to right of the address bar and then choose Settings.

2. Choose Show advanced settings at the bottom of the Settings page.

3. Select Content settings in the Privacy section.

4. In the Content settings window, choose Manage Exceptions in the Pop-ups

section.

5. In the Pop-up exceptions window, type each allowed website address (from

slide 9) in the Hostname pattern column. Select Allow in the Behavior column

after entering each address.

6. Choose Done in the Pop-up exceptions window and then choose Done in the

Content settings window.

POP-UP BLOCKERS (CONT.)

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Page 8: GUIDE TO THE PROVIDER ONLINE REPORTING APPLICATION · To support those efforts, our Provider Online Reporting site offers you access to meaningful information and creates the opportunity

THE AVAILITY PORTAL

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Page 9: GUIDE TO THE PROVIDER ONLINE REPORTING APPLICATION · To support those efforts, our Provider Online Reporting site offers you access to meaningful information and creates the opportunity

If your practice does not have access to the Availity Portal, your

administrator should go to https://www.availity.com and select Register

to begin the process.

REGISTER FOR THE AVAILITY PORTAL

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Page 10: GUIDE TO THE PROVIDER ONLINE REPORTING APPLICATION · To support those efforts, our Provider Online Reporting site offers you access to meaningful information and creates the opportunity

1. Select Add User from the My Account Dashboard on the Availity

Portal home page.

2. You may also choose More in the top navigation bar and then select

Add User under Account Administration and complete the required

fields for access.

ADDING A NEW USER

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Page 11: GUIDE TO THE PROVIDER ONLINE REPORTING APPLICATION · To support those efforts, our Provider Online Reporting site offers you access to meaningful information and creates the opportunity

1. Select the Provider

Online Reporting

check box under

Role(s). Select Next

and then Submit.

2. A temporary password

and user ID will be

viewable to the

administrator, who can

then print or email the

information to the end

user.

ADDING A NEW USER (CONT.)

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Page 12: GUIDE TO THE PROVIDER ONLINE REPORTING APPLICATION · To support those efforts, our Provider Online Reporting site offers you access to meaningful information and creates the opportunity

1. Select Maintain User from My Account Dashboard on the Availity

Portal home page or choose More in the top navigation bar. Then

select Maintain User under Account Administration.

2. After selecting Maintain User, locate the user’s account. Select the

name of the user.

EDITING EXISTING USER ROLES

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Page 13: GUIDE TO THE PROVIDER ONLINE REPORTING APPLICATION · To support those efforts, our Provider Online Reporting site offers you access to meaningful information and creates the opportunity

3. In the Role(s) column, choose View/Edit. A list of available roles will

be displayed.

4. Select the check box for Provider Online Reporting and then Save.

EDITING EXISTING USER ROLES (CONT.)

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Page 14: GUIDE TO THE PROVIDER ONLINE REPORTING APPLICATION · To support those efforts, our Provider Online Reporting site offers you access to meaningful information and creates the opportunity

1. Select Payer Spaces from the top menu bar.

2. Select Payer Tile.

ACCESSING PAYER SPACES

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Page 15: GUIDE TO THE PROVIDER ONLINE REPORTING APPLICATION · To support those efforts, our Provider Online Reporting site offers you access to meaningful information and creates the opportunity

PROVIDER ONLINE REPORTING

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Page 16: GUIDE TO THE PROVIDER ONLINE REPORTING APPLICATION · To support those efforts, our Provider Online Reporting site offers you access to meaningful information and creates the opportunity

1. On the Applications tab, select Provider Online Reporting.

2. Select an Organization and Submit.

PROVIDER ONLINE REPORTING

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Page 17: GUIDE TO THE PROVIDER ONLINE REPORTING APPLICATION · To support those efforts, our Provider Online Reporting site offers you access to meaningful information and creates the opportunity

1. Select Register/Maintain Organization

REGISTERING AN ORGANIZATION

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Page 18: GUIDE TO THE PROVIDER ONLINE REPORTING APPLICATION · To support those efforts, our Provider Online Reporting site offers you access to meaningful information and creates the opportunity

2. Select the blue Register Tax ID(s) field for the applicable program to register

tax IDs. The practice may be participating in more than one program; the

administrator must register each program listed.

REGISTERING AN ORGANIZATION (CONT.)

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Page 19: GUIDE TO THE PROVIDER ONLINE REPORTING APPLICATION · To support those efforts, our Provider Online Reporting site offers you access to meaningful information and creates the opportunity

3. A pop-up window will display all tax ID(s) that need to be registered for

the program.

4. Check the box for each tax ID to be registered and select SAVE.

REGISTERING AN ORGANIZATION (CONT.)

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Page 20: GUIDE TO THE PROVIDER ONLINE REPORTING APPLICATION · To support those efforts, our Provider Online Reporting site offers you access to meaningful information and creates the opportunity

You have now successfully completed the tax ID registration. You will

notice that after the registration has been completed, the status has

changed from the Register Tax ID(s) to Edit Tax ID(s) option.

REGISTERING AN ORGANIZATION (CONT.)

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Page 21: GUIDE TO THE PROVIDER ONLINE REPORTING APPLICATION · To support those efforts, our Provider Online Reporting site offers you access to meaningful information and creates the opportunity

REGISTER AND SET UP USERS IN PROVIDER

ONLINE REPORTING

Page 22: GUIDE TO THE PROVIDER ONLINE REPORTING APPLICATION · To support those efforts, our Provider Online Reporting site offers you access to meaningful information and creates the opportunity

Select Register User(s) under Maintain User

1. Under Select a Program — If the organization is participating in more than

one program, the administrator must register the user to access Provider

Online Reporting for each program.

2. Select New users are available to register. This link leads to the Register

User landing page (see next slide). This link will only display when the

program has new users that have not been registered.

REGISTER AND SET UP NEW USER IN PROVIDER ONLINE REPORTING

Page 23: GUIDE TO THE PROVIDER ONLINE REPORTING APPLICATION · To support those efforts, our Provider Online Reporting site offers you access to meaningful information and creates the opportunity

1. Select Group — Choose from

group names associated with the

selected program.

2. Select Role(s) — The roles will

appear unchecked by default.

Check role for user.

3. Select User(s) — The list of

users will appear in alphabetical

order by last name and will be

unchecked by default. Select

appropriate user for access.

(Only users that were given the

provider online reporting role will

be listed here.)

REGISTER AND SET UP NEW USER IN PROVIDER ONLINE REPORTING (CONT.)

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Page 24: GUIDE TO THE PROVIDER ONLINE REPORTING APPLICATION · To support those efforts, our Provider Online Reporting site offers you access to meaningful information and creates the opportunity

4. Under Assign Access: Select the

Group Access check box or

Search or Select Eligible Tax

ID(s).

• Search — Type in a tax ID or the

name associated with a tax ID,

when applicable.

• Choose Select All — all tax ID(s)

will appear as selected. When

unselected, all tax ID(s) will

appear as unselected.

REGISTER AND SET UP NEW USER IN PROVIDER ONLINE REPORTING (CONT.)

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Page 25: GUIDE TO THE PROVIDER ONLINE REPORTING APPLICATION · To support those efforts, our Provider Online Reporting site offers you access to meaningful information and creates the opportunity

5. Managed tax ID(s) —

When a tax ID is split

(meaning that it is

enrolled in multiple

programs), the tax ID

number will display

along with a Managed

Tax ID hyperlink.

Select the link to open

a pop-up window

displaying all NPIs

associated with the

Tax ID. For Register

User(s), select View

NPI and the NPI(s)

will display.

REGISTER AND SET UP NEW USER IN PROVIDER ONLINE REPORTING (CONT.)

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Page 26: GUIDE TO THE PROVIDER ONLINE REPORTING APPLICATION · To support those efforts, our Provider Online Reporting site offers you access to meaningful information and creates the opportunity

Under Register User(s)

1. Select Add to Preview

to review the selections

made prior to saving.

2. Choose Save.

If changes need to be made

prior to saving, select

Remove from the preview

window and complete the

fields on the screen.

REGISTER AND SET UP NEW USER IN PROVIDER ONLINE REPORTING (CONT.)

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Page 27: GUIDE TO THE PROVIDER ONLINE REPORTING APPLICATION · To support those efforts, our Provider Online Reporting site offers you access to meaningful information and creates the opportunity

Under Maintain User, select

Edit User(s):

• Once the user(s) have been

successfully registered, the

administrator can view the list

of users, group information,

the role assignment given

and the tax ID that each user

has access to.

• Select Edit User(s) to modify

existing access for the user.

The screen will be

prepopulated with the data

for the selected user.

EDIT USER REGISTRATION

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Page 28: GUIDE TO THE PROVIDER ONLINE REPORTING APPLICATION · To support those efforts, our Provider Online Reporting site offers you access to meaningful information and creates the opportunity

EDIT USER REGISTRATION (CONT.)

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Page 29: GUIDE TO THE PROVIDER ONLINE REPORTING APPLICATION · To support those efforts, our Provider Online Reporting site offers you access to meaningful information and creates the opportunity

ACCESSING PROVIDER ONLINE REPORTING

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Page 30: GUIDE TO THE PROVIDER ONLINE REPORTING APPLICATION · To support those efforts, our Provider Online Reporting site offers you access to meaningful information and creates the opportunity

1. Log on to the Availity Portal.2. Select Payer Spaces, then Payer Tile.3. On the Applications tab, select Provider Online Reporting.4. Select an Organization, then select Submit.

ACCESSING PROVIDER ONLINE REPORTING

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Page 31: GUIDE TO THE PROVIDER ONLINE REPORTING APPLICATION · To support those efforts, our Provider Online Reporting site offers you access to meaningful information and creates the opportunity

Navigate through the application by the menu on the

left-hand side of the page.

NAVIGATION

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Page 32: GUIDE TO THE PROVIDER ONLINE REPORTING APPLICATION · To support those efforts, our Provider Online Reporting site offers you access to meaningful information and creates the opportunity

• Select a program using

the drop-down arrow.

• This page provides a

description about the

program(s) your

organization is

participating in.

PROGRAMS

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Page 33: GUIDE TO THE PROVIDER ONLINE REPORTING APPLICATION · To support those efforts, our Provider Online Reporting site offers you access to meaningful information and creates the opportunity

Select Report Search

to access the

corresponding report(s)

for the program(s) your

organization is

participating in.

REPORT SEARCH

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Link, file or further instructions will display here, depending on program

Page 34: GUIDE TO THE PROVIDER ONLINE REPORTING APPLICATION · To support those efforts, our Provider Online Reporting site offers you access to meaningful information and creates the opportunity

Select Contact Us to

submit questions about

the Provider Online

Reporting application.

CONTACT US

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Page 35: GUIDE TO THE PROVIDER ONLINE REPORTING APPLICATION · To support those efforts, our Provider Online Reporting site offers you access to meaningful information and creates the opportunity

Select Notifications to view updates for programs, as

applicable. Select Online Resources under Helpful Links to

view external websites that may be useful to your organization.

NOTIFICATIONS AND HELPFUL LINKS

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Note: Functionality is dependent on specific program requirements.

Page 36: GUIDE TO THE PROVIDER ONLINE REPORTING APPLICATION · To support those efforts, our Provider Online Reporting site offers you access to meaningful information and creates the opportunity

THANK YOU

bluecrossmn.comBlue Cross® and Blue Shield® of Minnesota and Blue Plus® are nonprofit independent licensees of the Blue Cross and Blue Shield Association. BMNPEC-0165-18 November 2018 75107MNPENABC