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|
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.
|FedEx||Call 1-800-463-3339 for instructions|
|EMRService@inovalon.com (send secure)|
If you have questions about delivery options or methods, please call