As outlined in your Provider Agreement with Independence, you are required
to respond to requests in support of Healthcare Effectiveness Data and
Information Set (HEDIS®), risk adjustment, and
government-required programs related to the Affordable Care Act within the
requested time frame. Inovalon, an independent company, facilitates these
requests on our behalf. They retrieve medical records for out-of-area Blue
members on behalf of the Blue Cross and Blue Shield Association (BCBSA), an
association of independent Blue Cross® and Blue
For your convenience, medical records may be submitted to Inovalon using any
of the following methods:
- Fax. Fax medical records
- FedEx®. For further instruction on
returning medical records via FedEx, please
- Email. Send medical records via secure email to EMRService@inovalon.com.
If you have questions on delivery options and methods, call Inovalon
HIPAA and privacy
Inovalon is contractually bound to preserve the confidentiality of health
plan members’ protected health information (PHI) obtained from medical
records, in accordance with the Health Insurance Portability and Accountability
Act (HIPAA) regulations. Patient authorization is not required for you to
comply with these requests for medical records.
Providers are permitted to disclose PHI to health plans without
authorization from the patient when both the provider and health plan have a
relationship with the patient and the information relates to the
For more information regarding the HIPAA privacy rule, please visit the U.S.
Department of Health & Human Services website.
For more information about the BlueCard® Program, visit
the BlueCard section or email email@example.com.
HEDIS is a registered trademark of the National Committee
for Quality Assurance (NCQA). Used with permission.
Independence Blue Cross is an independent licensee of the
Blue Cross and Blue Shield Association.