As a reminder, all medical record information for the 2019 Healthcare Effectiveness Data and Information Set (measurement year 2018) are now due.
Action required: If you have not done so already, please fax your records to 1-888-641-4990 now.
Medical record collection is required by the National Committee for Quality Assurance (NCQA).
Your help in submitting your medical records promptly is important. HEDIS is one of the ways we measure the quality of care you provide to our members, and it is a very important activity for all NCQA-accredited health plans.
These reviews ensure that we remain compliant with state and federal regulations related to accurate medical coding and documentation, help us learn about our members’ care, and identify opportunities for improvement.
As part of your provider Agreement, you must comply with all medical record requests from Blue Cross to support medical management, quality management, compliance, and other programs.
If you have any questions about HEDIS or the medical record collection process, please call 1-888-994-3347. Thank you.