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Medicare AdvantageAdministrativeMedium impact

Episource Conducting Medical Record Requests

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

Summary

EmblemHealth and ConnectiCare are partnering with Episource to conduct Medicare and marketplace chart reviews to ensure proper ICD-10 coding. When providers receive medical record requests from Episource, they must respond promptly by sending requested documentation directly to Episource.

Action Required

Action needed
Immediately: When receiving medical record requests from Episource, follow provided instructions and send requested documentation directly to Episource. Ensure prompt response to all requests. Front desk and medical records staff should be aware of this ongoing review process throughout the year.

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