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Medicare AdvantageAdministrativeMedium impact

Medicare Medical Record Request for 2019 (RADV)

EmblemHealth·Provider News
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

EmblemHealth is conducting a Medicare RADV audit for Payment Year 2019 and requires providers to submit complete medical records for specific patients with dates of service from Jan 1, 2018 to Dec 31, 2018. Their vendor Cognisight is contacting providers directly to request these records, and prompt response is required using secure delivery methods.

Action Required

Action needed
Immediately: When contacted by Cognisight or EmblemHealth, respond promptly and submit complete medical records for requested patients with dates of service between Jan 1, 2018 and Dec 31, 2018 using the secure delivery methods specified in their communication. Medical records management staff should notify any third-party record vendors now to ensure timely responses. No member authorization is required due to existing business associate agreement.

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