EmblemHealth is committed to ensuring our members receive the care they need and achieve expected health outcomes. EmblemHealth began the annual Healthcare Effectiveness Data Information Set (HEDIS) medical record review in February. HEDIS is a nationally recognized tool that allows EmblemHealth to evaluate the services and care our members receive.
One or more of your patients may be randomly selected for review. If chosen, we may ask your office to provide medical records through:
- a scheduled visit to your office
- a faxed request
- access to electronic medical record(s) (EMR(s))
- an electronic exchange of information via a secure file transfer (FTP)
Per HIPAA’s Privacy Rule, release of HEDIS data does not require patients’ permission. EmblemHealth maintains members’ personal health information in accordance with all federal and state laws. Data is reported collectively without individual identifiers.