Providers who care for our FEP members may receive medical record requests from Blue Cross and Blue Shield of New Mexico from February through April 2024. We collect data for Healthcare Effectiveness Data and Information Set (HEDIS®) measures to help monitor FEP members’ care.
How You Can Help
We will contact you by fax, phone or email to provide details about the medical records needed and how you can return them. When requested, please provide us complete and accurate records within 5 business days of the request.
Patient authorization isn’t required to release these records, as their collection and review is considered health care operations under the Health Information Portability and Accountability Act.
What Data We’re Seeking
We collect data for HEDIS measures developed by the National Committee for Quality Assurance , including:
- High Blood Pressure Control
- Diabetes Care
- Hemoglobin A1c Control
- Blood Pressure Control
- Eye Exam
- Cervical Cancer Screening
- Colorectal Cancer Screening
- Childhood Immunizations
- Immunizations for Adolescents
- Prenatal and Postpartum Care
- Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents
This data helps us ensure compliance with Federal Employee Health Benefits Program requirements.
If You Have Questions
Contact FEP Quality Improvement at 1-888-907-7918.