CommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJanuary 28, 2025
Enhance patient coordination with Total Member View
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 and Blue Shield is the trade name of Anthem Insurance Companies, Inc., independent licensee of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.
Providers who are contracted with Anthem Blue Cross and Blue Shield to serve Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for Aging through an accountable care organization (ACO), participating medical group (PMG) or Independent Physician Association (IPA) are to follow guidelines and practices of the group. This includes but is not limited to authorization, covered benefits and services, and claims submittal. If you have questions, please contact your group administrator or your Anthem network representative.
INBCBS-CDCRCM-071431-24-CPN70940
PUBLICATIONS: February 2025 Provider Newsletter
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