October 2019
Reminder: CMS Audit in Process – Submit Medical Records ASAP
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 electronic medical record (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.
Secure Email Address |
Secure Fax |
Mailing Address* |
Telephone |
312-653-9445 |
Blue Cross Blue Shield of Illinois |
312-653-6658 |
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.