CommercialAdministrativeMedium impact
HEDIS Medical Record Review and PQIP 2025 Updates
Blue Cross Blue Shield of Rhode Island·RI·Physician
Effective date
Feb 1, 2025
We identified it
Jun 19, 2026
Summary
BCBSRI is conducting their annual HEDIS medical record review from February to early May 2025, requiring healthcare practices to provide patient medical records for quality studies. Practices can choose from three options: provide remote EMR access, allow onsite record collection by BCBSRI nurses, or gather and submit records themselves via fax, mail, or email.
Action Required
Between February and early May 2025: When BCBSRI sends HEDIS record requests, choose your preferred method: (1) Contact Alexis Vieira at (401) 459-2594 or Alexis.Vieira@bcbsri.org to set up remote EMR access, (2) schedule onsite nurse visits, or (3) gather requested records and submit via fax, mail, or email using provided coversheets. No special patient authorization needed as consent is covered under initial enrollment.