05/10/2023
If we need medical records for Blue Cross Group Medicare Advantage (PPO)SM members, you will receive requests from Blue Cross and Blue Shield of Texas (BCBSTX) or our vendor, Change Healthcare, as part of the Blue Cross and Blue Shield National Coordination of Care program. Please respond quickly to our requests, including requests related to risk adjustment gaps and Healthcare Effectiveness Data and Information Set (HEDIS®) measures.
In addition, you may receive requests from CERiS of CorVel Health Corporation for select inpatient, diagnosis-related group claims for out-of-area Blue Cross Medicare AdvantageSM members.