Commercial medical record reviews have started

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Commercial medical record reviews have started


From now through April, you may receive a call from Inovalon about reviewing the medical records of your patients with ConnectiCare commercial plans, including plans purchased on Access Health CT, the Connecticut exchange.

Inovalon will conduct chart reviews on our behalf as part of the 2016 benefit year review of medical records. As a health plan, we must submit detailed documentation for each patient on an ongoing basis to the U.S. Department of Health and Human Services (HHS). All charts must be received at Inovalon by April 15, 2017.

Inovalon will contact you to arrange a convenient way of obtaining copies of our members' medical records for dates of service in 2016. As our partner and "business associate," as defined by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), Inovalon is fully HIPAA compliant and is required to protect, preserve and maintain the confidentiality of any protected health information (PHI) it obtains from clinical records provided by medical practices.

We truly appreciate your help with this medical records review. If you have questions, please call a ConnectiCare provider education and service representative at (860) 409-2468. Notice of the need for these reviews and your required compliance are included in your contractual agreement with ConnectiCare.