As part of our efforts for Health Care Reform, IBC
recently launched the 2013 Medical Chart Review Program for our commercial and
Medicare Advantage HMO and PPO benefit plans. The purpose of this program is to
validate our claims coding and submission processes with the objective of
better understanding the health status of members. We have contracted with
Inovalon, Inc., an independent company, to gather records for these reviews.
As both a commercial health insurer and Medicare
Advantage Managed Care Organization, IBC is required to meet standards set
forth by the Centers for Medicare & Medicaid Services and the U.S.
Department of Health and Human Services.
If you are selected to participate, an
Inovalon representative will contact you to share details about these reviews
and to determine the most appropriate method of retrieving charts from your
practice.
The methods of retrieving the
charts from your practice include the following options:
- Inovalon can schedule the
most appropriate time for providers for an onsite chart retrieval.
- You can send a secure fax of
the medical records to 1-877-221-0604.
- You can mail copies of
the medical records to the address listed in the letter you may receive.
We appreciate your assistance in this
important program. If you have any questions about this initiative, please call
Customer Service at 1-800-ASK-BLUE.