Medicare 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 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.
Blue Medicare Advantage is the trade name of Group Retiree Health Solutions, Inc., an independent licensee of the Blue Cross Blue Shield Association.
PAIBC-CR-071447-24-CPN70940
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