CommercialAdministrativeMedium impact
Mandatory HEDIS® Audit
Blue Cross Blue Shield of Rhode Island·RI·Physician
We identified it
Jun 19, 2026
Summary
BCBSRI is conducting mandatory HEDIS audits requiring cooperation from network providers for medical record reviews. BCBSRI will handle all record retrieval and contact offices to determine the retrieval method.
Action Required
When contacted by BCBSRI: Cooperate with medical record retrieval requests for HEDIS audit. Coordinate with BCBSRI team to determine preferred retrieval method. Contact Laura.Raso@bcbsri.org or (401) 459-2026 with questions or pandemic-related concerns about completing requests.