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HEDIS and QRS data collection are right around the corner

Cigna·Medical Policy
Effective date
Jan 31, 2025
We identified it
Jun 19, 2026
Days to comply

Summary

Cigna Healthcare is beginning their annual HEDIS and QRS data collection process, with initial medical record requests starting in late January 2025. Healthcare practices must cooperate with this data collection under their provider agreement and submit requested medical records within specified timeframes.

Action Required

Action needed
Starting late January 2025: Respond promptly to HEDIS medical record requests from Cigna Healthcare within specified timeframes. Set up electronic submission through EMR system access or secure SFTP site for efficiency. Do not mail records due to HIPAA requirements - use electronic submission or secure fax (maximum 3 records per fax). Ensure compliance as required under provider agreement.

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