 Provider News DentalJanuary 1, 2025 January 2025 Dental Provider NewsletterThe Consolidated Appropriations Act (CAA) and state law require our Provider Directories to be current and accurate. Your patients — our members — need the most up-to-date information to reach you. As a contracted provider, please respond to this notification by providing updated contact information. We are excited to announce our partnership with HealthLink Dimensions to simplify the verification process with your practice. Healthlink Dimensions will send you an email with the steps required to complete the verification of your practice. Ensure that you add Healthlink Dimensions to your trusted sender list so that vital communication between your office and Healthlink Dimension is received. Working together, we ensure your patients — our members — can reach you quickly while we meet our compliance obligations. Anthem Blue Cross is the trade name of: In California: Blue Cross of California and Blue Cross of California Partnership Plan, Inc. Anthem BC Health Insurance Company is the trade name of Anthem Insurance Companies, Inc. Blue Cross of California, Blue Cross of California Partnership Plan, Inc., Anthem Blue Cross Life and Health Insurance Company, and Anthem BC Health Insurance Company are independent licensees of the Blue Cross Association. In 11 northeastern counties of New York: Anthem HealthChoice Assurance, Inc. and Anthem HealthChoice HMO, Inc. In these same counties, Anthem Blue Cross Retiree Solutions is the trade name of Anthem Insurance Companies, Inc. Independent licensees of the Blue Cross Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc. MULTI-BC-DEN-074285-24-SRS74285 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 Health Record 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 Patient Health Record 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 guideThe 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 Availity Essentials Custom Learning Center: - After logging into Availity Essentials, select Payer Spaces from the top menu bar, then select the appropriate payer tile.
- Once in Payer Spaces, select the Custom Learning Center application, then select the Resources section.
- To use the catalog filter to narrow the results, select Payer Spaces from the Category menu.
- Select download to view and/or the reference guide.
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: In California: Blue Cross of California and Blue Cross of California Partnership Plan, Inc. Anthem BC Health Insurance Company is the trade name of Anthem Insurance Companies, Inc. Blue Cross of California, Blue Cross of California Partnership Plan, Inc., Anthem Blue Cross Life and Health Insurance Company, and Anthem BC Health Insurance Company are independent licensees of the Blue Cross Association. In 11 northeastern counties of New York: Anthem HealthChoice Assurance, Inc. and Anthem HealthChoice HMO, Inc. In these same counties, Anthem Blue Cross Retiree Solutions is the trade name of Anthem Insurance Companies, Inc. Independent licensees of the Blue Cross Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc. CABC-DEN-071457-24-CPN70940 |