Administrative Digital SolutionsCommercialMedicare AdvantageDecember 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.

In Missouri (excluding 30 counties in the Kansas City area): Anthem Blue Cross and Blue Shield is the trade name of RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. Independent licensees of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

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PUBLICATIONS: January 2025 Provider Newsletter