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Responding to Quality and Risk Adjustment Medical Record Requests Online via AvailityTM Provider Portal

The AvailityTM Medical Attachment tool allows providers to receive electronic quality and risk adjustment medical record requests from BCBSNM. Providers can upload and submit the necessary medical records to BCBSNM using the Medical Attachment option in the Claims & Payments menu through the Availity Provider Portal.

To receive and respond to these medical records requests, you must be registered with Availity . To enable this feature, administrators must log in select Enrollment Center › Medical Attachments Setup, then enter the required data. For additional details, refer to the Responding to Electronic Quality and Risk Adjustment Medical Records Requests Tip Sheet PDF Document.

At this time, medical records for utilization review and claims adjudication cannot be electronically requested or submitted through Availity. We are working on enhancing capabilities throughout 2018.

Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSNM. BCBSNM makes no endorsement, representations or warranties regarding any products or services provided by third party vendors such as Availity. If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly.