1. Training for provider relations representatives and PMP offices
Member Health Profile
Training for provider relations representatives and PMP offices
HHW-HIPP0516(9/17)

2. Member Health Profile (MHP) Overview Requesting MHP Access
Agenda
Member Health Profile (MHP) Overview
Requesting MHP Access
Member Health Profile Data
Contact Information
Questions

3. Member Health Profile Overview
The Member Health Profile (MHP) is an online tool to help registered in-network PMP’s and specific Behavioral Health providers with coordination of care
Allows the PMP/BH provider to view their members medical and pharmacy claims for all of doctors that see the member
The information is displayed in one interface and can be printed
PMP’s can use this information to identify the gaps in care and better manage the members overall care plan

4. Allow 5-7 business days for processing
Requesting MHP Access
To request access to the Member Health Profile provider will complete our online request form
Only PMP NPI’s should be used, Specialists/non-PMP’s will not be able to lookup users in the Member Health Profile
Allow 5-7 business days for processing
If providers have technical issues getting registered or accessing the profile, please send an to
Please note this is not for claims questions
Please do not send any PHI

5. Requesting MHP Access

6. Requesting MHP Access

7. Requesting MHP Access

8. Requesting MHP Access
The Member Health Profile link will be at the top

9. Requesting MHP Access

10. Requesting MHP Access

11. Requesting MHP Access

12. Requesting MHP Access

13. Member Profile Health Data
The MHP houses claims data over the last 12 rolling months
It is updated when claims data is received to ensure the most recent data
There is not a way to run reports from MHP as its purpose is to allow PMPs access to the member’s claims to assist in coordination of care
Please educate your PMPs about MHP and encourage them to register for access

14. MDwise Quick Contact Guide MDwise Delivery System Contact Guide
Contact Information
MDwise Website
MDwise Quick Contact Guide
MDwise Delivery System Contact Guide

15. Questions