Verscend Technologies to retrieve medical records for Blue Cross, BCN commercial risk adjustment services

Blue Cross Blue Shield of Michigan and Blue Care Network will use Verscend Technologies, an independent company, to perform medical record retrieval for risk adjustment services for commercial members, beginning in October 2017.

Verscend will remain the medical record retrieval vendor for in-state commercial risk adjustment business and continue to work with other Blue plans for out-of-state risk adjustment and retrieval services for Healthcare Effectiveness Data and Information Set charts.

Blue Cross and BCN request medical records every year to meet the Centers for Medicare & Medicaid Services’ standards for data submission and coding accuracy, and CMS’ and Health and Human Services’ regulations and quality standards for patient care.

Verscend Technologies is contractually bound to preserve the confidentiality of members’ protected health information obtained from medical records, in accordance with the Health Insurance Portability and Accountability Act of 1996.

You won’t need to submit patient-authorized information releases to comply with medical records requests when both the provider and health care plan have a relationship with the patient, and the information relates to this relationship [45 CFR 164.506(c)(4)]. For more information about privacy rules, go to hhs.gov/ocr/privacy.**

If you have questions, contact Blue Cross and BCN provider outreach consultants Sue Brinich at 586-839-8614, Tom Rybarczyk at 313-378-8259 or Corinne Vignali at 313-969-0417.

**Blue Cross Blue Shield of Michigan doesn’t control this website or endorse its general content.