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Inovalon medical record requests
October 9, 2019

This article is for all providers except dental.

Inovalon is the vendor that the Blue Cross Blue Shield Association uses to gather medical records for out-of-area Blue Cross Blue Shield plan members. Your submission of records supports Healthcare Effectiveness Data and Information (HEDIS), risk adjustment, and government-required programs related to the Affordable Care Act.

For example, if a Blue Cross Blue Shield of Florida member visits a contracted Blue Cross Blue Shield of Massachusetts doctor, Inovalon may ask for records for that Florida patient.

Blue Cross Blue Shield plans will follow the timeline below for quality data collection activities in 2020:

  Start date End date
HEDIS January 2020 May 2020
MRA May 2020 December 2020
HRADV June 2020 December 2020
CRA / RADV January 2020 December 2020

Respond to Inovalon quickly

When Inovalon requests copies of medical records for a Blue Cross Blue Shield member, please respond directly them. Do not send the records to us.

Important to know

  • Your contract requires you to respond to requests for all medical records, including both in-state and out-of-state Blue Cross members.
  • Requests from Inovalon are in addition to other medical record requests we conduct.

How to submit records to Inovalon

Fax 1-877-221-0604
FedEx Call 1-800-463-3339 for instructions
Email EMRService@inovalon.com (send secure)

If you have questions about delivery options or methods, please call
1-844-682-9764.

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