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HEDIS Medical Record Request

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

Summary

EmblemHealth and ConnectiCare are conducting their annual HEDIS medical record review to evaluate documentation compliance as required by state and federal agencies. Providers must respond to medical record requests within 10 business days as part of their contractual obligations.

Action Required

Action needed
Within 10 business days of receiving a HEDIS medical record request: Review the request letter carefully, gather all required member medical records mentioned in the request, and send complete documentation to EmblemHealth/ConnectiCare. Assign a staff member to monitor for incoming HEDIS requests and ensure timely response to avoid contract compliance issues.

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