Electronic Quality and Risk Adjustment Medical Records Requests

The Availity^® Medical Attachment tool allows providers to receive electronic quality and risk adjustment medical record requests from Blue Cross and Blue Shield of Texas (BCBSTX). As of Jan. 2019, providers can upload and submit the necessary medical records to BCBSTX using the Medical Attachment option in the Claims & Payments menu through the Availity Portal.

To receive and respond to these medical records requests, you must be registered with Availity . To enable this feature, administrators must log into Availity and select Enrollments Center, then 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 .

At this time, electronic medical record request and submission process are not available for medical record requests resulting from utilization review activities or the claims adjudication process.

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 BCBSTX. BCBSTX 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.