Medicare AdvantageAdministrativeMedium impact
Provide Records To Support Risk Adjustment Data Validation Audits for Medicare Advantage
BCBS Oklahoma·OK·Government Programs
Effective date
Mar 1, 2026
We identified it
Jun 18, 2026
Summary
Blue Cross Blue Shield of Oklahoma will begin conducting Risk Adjustment Data Validation (RADV) audits for Medicare Advantage plans starting March 2026. Providers must respond promptly to medical record requests from their vendor Advantmed to support CMS audits that validate member medical conditions for risk adjustment payments.
Action Required
Starting March 2026: When you receive a letter from Advantmed requesting medical records for RADV audits, respond as soon as possible with all records from the requested audit year. No patient authorization is required. Ensure your team knows to prioritize these time-sensitive audit requests to avoid compliance issues with CMS risk adjustment validation.