Products & Programs Federal Employee Program (FEP)CommercialMarch 31, 2023

HEDIS 2023 Federal Employee Program medical record request requirements

Beginning January 1, 2024, Empire became Anthem. This article, published under the former brand, now applies to Anthem.

Reveleer* is the contracted vendor to gather consumer medical records on behalf of the Blue Cross and Blue Shield Federal Employee Program®. We value the relationship with our providers and ask that you respond to the detailed requests in support of risk adjustment, HEDIS®, and other government required activities within the requested timeframe. Reveleer will work with you to obtain records via fax, mail, remote electronic medical record (EMR) access, or onsite scanning/EMR download (as necessary). We ask that you please promptly comply within five business days of the record requests. If you have any questions, you can reach a Reveleer representative by calling 855-454-6182 or contact Pragna Halder with Blue Cross and Blue Shield Federal Employee Program at 202-942-1186.

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

* Reveleer is an independent company providing medical record review services on behalf of the health plan.

NYBCBS-CM-019353-23

PUBLICATIONS: April 2023 Provider News - New York