Medical Record Retrieval and Review

Blue Cross Blue Shield of Michigan and Blue Care Network have engaged Ciox Health to perform medical record retrieval for risk adjustment services for our commercial members. Medical record reviews help us confirm suspected chronic conditions that haven’t been submitted on a claim for the service date range in question.

Conditions that are actively being treated or those that may affect the patient's treatment should be reported on a claim at least once every calendar year. These reviews can also help identify patients who may benefit from our care and disease management programs.