Dec. 18, 2024
Providers who care for our FEP® members may receive medical record requests from Blue Cross and Blue Shield of Illinois or our medical record retrieval vendor from February through April 2025. We collect data for Healthcare Effectiveness Data and Information Set (HEDIS®) measures to gather information on FEP members’ care. This data helps us ensure compliance with Federal Employees Health Benefits Program requirements.
How you can help: Either BCBSIL or the medical record retrieval vendor Advantmed will contact you by fax, phone or email to provide details about the medical records needed and how to submit them. Please provide complete and accurate records within five business days of the request.
Patient authorization isn’t required to release these records, as their collection and review is considered a component of health care operations under the Health Insurance Portability and Accountability Act of 1996.
The data we’re seeking: We collect data for HEDIS measures developed by the National Committee for Quality Assurance, including:
- High Blood Pressure Control
- Diabetes Care
- Glycemic Status Assessment (previously known as Hemoglobin A1c)
- Blood Pressure Control
- Eye Exam
- Cervical Cancer Screening
- Childhood Immunizations
- Immunizations for Adolescents
- Prenatal and Postpartum Care
- Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents
If you have questions, contact FEP Quality Improvement at 888-907-7918.
HEDIS is a registered trademark of NCQA.
Advantmed, LLC is an independent company that has contracted with BCBSIL to request medical records for HEDIS reporting. BCBSIL makes no endorsement, representations or warranties regarding third-party vendors and the products and services they offer.