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Reminder: CMS Audit in Process/Submit Medical Records ASAP

Posted September 3, 2019

As mentioned in a previous News and Updates post, as an insurer participating in the Affordable Care Act's (ACA) Department of Health and Human Services Risk Adjustment Data Validation (HHS-RADV) Program/Initial Validation Audit (IVA), Blue Cross and Blue Shield of Illinois (BCBSIL) needs your participation in the Centers for Medicare & Medicaid Services (CMS) required HHS-RADV program/IVA. CMS mandates that BCBSIL provide the full 2018 medical records for those members selected to be audited. Once you receive a request for medical records, submit the requested medical records no later than two weeks from the date you receive the request.

The following medical record submission options are available:

  • Email, fax or mail copies of the records to BCBSIL via contact information provided below
  • Remote EMR: BCBSIL can remotely retrieve medical records from your office or facility
  • On-site retrieval: BCBSIL representatives can visit your office or facility to retrieve, scan or copy medical records

 

Telephone

Secure Fax

Secure Email Address

Mailing Address*

312-653-6658

312-653-9445

Il_IVA@bcbsil.com

Blue Cross Blue Shield of Illinois

ATTN: Manuel Fortuna

1100 East Warrenville Road

4th Floor

Naperville, IL 60563

Thank you in advance for your cooperation in the HHS-RADV program/IVA. If you have questions, please do not hesitate to contact BCBSIL at IL_IVA@bcbsil.com, or 312-653-6658.

*If mailing records, please include the notification request letter containing the barcode to ensure proper delivery of the medical records.