This article is for all providers, except mental health providers, dermatologists, and dentists.
This is a reminder that we will start collecting medical record information for the 2022 Healthcare Effectiveness Data and Information Set (HEDIS) review (claims measurement year 2021), as required by the National Committee for Quality Assurance (NCQA). Our members, your patients, are randomly selected for this review.
HEDIS is one of the ways we measure the quality of care you provide to our members and is a very important activity for all NCQA-accredited health plans.
Your help in promptly submitting medical records for all Blue Cross Blue Shield of Massachusetts HEDIS requests is important and a part of your contract. Per HIPAA regulations, please submit only the minimum necessary to satisfy the requested information.
We recognize the intense demands facing health care providers during the COVID-19 public health emergency. To ensure the safety of your staff and ours, we strongly recommend providing us with remote access.
If you use a vendor for your medical records, be sure they know that they cannot bill us for these records.
If you have any questions about HEDIS, please call 1-888-99-HEDIS (43347). To set up remote access, please contact Ankita Desai at 1-617-246-6577. Thank you in advance for responding promptly to this request.