Administrative Digital SolutionsCommercialMedicare AdvantageMedicaidDecember 30, 2024

Enhance patient coordination with Total Member View

At a glance:

  • Total Member View (TMV) provides a full 360‑degree view of patient health and treatment history.
  • Easily identify and provide feedback on patients missing essential preventive screenings, follow‑up appointments, or necessary treatments.
  • User‑friendly guides available for seamless navigation and usage of TMV.

TMV is a dashboard you can access through Payer Spaces in the Availity Essentials platform that gives you a full 360‑degree view of your patient’s health and treatment history to help you facilitate care coordination. You can drill down to specific items in a patient’s medical record to retrieve demographic information, care summaries, claims details, authorization details, pharmacy information, and care management‑related activities.

TMV is replacing the previous Patient 360 (P360) dashboard that you may have used to access your patient’s medical records. The TMV user interface is purple and says Total Member View in the upper right corner. TMV highlights include viewing your patients who have a care gap and providing feedback on care gaps. If you were a user of the P360 dashboard, moving to Total Member View will be a simple transition.

Viewing your patients who have a care gap:

  • After selecting the Total Member View application tile in Payer Spaces, you will be taken to the Summary tab.
  • Within the Summary tab, locate and select the care gap alert name on the Active Alerts card.

Providing feedback on care gaps:

  • Select the line item of the care gap on the Active Alerts card you would like to provide feedback on. A Care Gap Alert Feedback Entry dialog box will display.
  • From the Latest Feedback field, select the drop‑down arrow, then select the type of feedback you would like to provide (for example, My Patient is compliant with message suggestion, My Patient will not likely comply with this suggestion).
  • Once selected, choose Save.

User guide

The Total Member View Availity User Guide illustrates step‑by-step instructions on accessing and navigating through the Availity Essentials platform and how to use the system. This guide is available through the Digital Solutions Learning Hub.

We are committed to finding solutions that help our care provider partners offer quality services to our members.

Anthem Blue Cross is the trade name of Blue Cross of California. Anthem BC Health Insurance Company is the trade name of Anthem Insurance Companies, Inc. Anthem Blue Cross, Anthem Blue Cross Life and Health Insurance Company, Anthem BC Health Insurance Company, and Blue Cross of California Partnership Plan, Inc. are independent licensees of the Blue Cross Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

Blue Cross of California is contracted with L.A. Care Health Plan to provide Medi-Cal Managed Care services in Los Angeles County.

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PUBLICATIONS: January 2025 Provider Newsletter