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Reminder on medical record requests from Inovalon
January 11, 2019

Please respond directly to Inovalon when they request copies of medical records for a Blue Cross Blue Shield member. Do not send the records to us. 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.

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. You would send those records to Inovalon, not us.

Important to know

  • 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.
  • Your submission of records support Healthcare Effectiveness Data and Information (HEDIS), risk adjustment, and government-required programs related to the Affordable Care Act.

How to submit records to Inovalon

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

 

MPC_051718-2J-2-ART

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