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Medical record requests from Inovalon
July 2, 2018

If you receive requests from Inovalon for copies of medical records for a Blue Cross Blue Shield member, please respond quickly. 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.

Inovalon medical record requests are not related to our Blue Cross Blue Shield of Massachusetts requests—only for our-of-state Blues’ plans. 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.

Important to know

  • Your records support Healthcare Effectiveness Data and Information (HEDIS), risk adjustment, and government-required programs related to the Affordable Care Act.
  • You are contractually required to respond to requests for medical records, not only for your in-state patients, but also for any out-of-state Blue Cross members you see.
  • Requests from Inovalon are in addition to other medical record requests we are conducting.

How to submit records to Inovalon

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

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