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Medicare AdvantageAdministrativeMedium impact

Medical Record Requests for Year 2019 RADV (Medicare) Audit

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

Summary

EmblemHealth is conducting a 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 will be 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 with complete medical records for requested patients with dates of service Jan 1, 2018 to Dec 31, 2018. Use only secure delivery methods specified in their communication. Medical records teams should notify any third-party record management vendors now to ensure timely responses. No member authorization is required due to existing business associate agreement.

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