Medicare AdvantageAdministrativeMedium impact
Annual HEDIS Medical Record Requests
EmblemHealth·NY·Provider News
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
EmblemHealth's annual HEDIS medical record collection project runs January-April 2026, requiring providers to submit requested patient charts without charging fees. The health plan will request specific medical records to support quality reporting measures that cannot be captured through regular claims submissions.
Action Required
By January 2026: Designate a primary HEDIS contact and notify hedishelp@emblemhealth.com of contact information. When record requests arrive (January-April), submit complete medical records within stated timeframes using provider portal, secure fax, or email to hedisrecords@emblemhealth.com. Include patient demographics and requested documentation only. Do not charge fees for chart submissions unless specifically contracted otherwise.