Respond Electronically to Medical Record Requests for Claims

Currently, the Medical Attachments application within the Availity^® Provider Portal allows you to electronically respond to quality and risk adjustment medical record requests from Blue Cross and Blue Shield of Texas (BCBSTX). Coming soon, you will also be able to use this electronic application to respond to medical record requests from BCBSTX related to claims processing.

Submitting requested medical record information online is easy and more efficient. Once logged in to the Availity portal, medical record requests from BCBSTX will display in the Notification Center. You may then respond by uploading and submitting documentation using the Medical Attachments application. You may also track and audit your submissions within the Medical Attachment application.

You must be a registered Availity user to receive and respond to these requests online using the Medical Attachments application. To enable this feature, practice administrators must first log in to Availity, select Enrollment Center, then choose Medical Attachments Setup and enter the required data. Administrators are encouraged to complete this online setup now to ensure your organization is ready to receive new medical record requests for claims processing, once this new feature is implemented.

We are excited to offer more payer–provider solutions within your daily Availity workflow. Integrating this new electronic medical records submission capability has the potential to reduce in-person visits to retrieve medical records and administrative challenges and costs associated with mailing or faxing paper submissions. (Mailing and faxing medical records remain options for all participating providers.)

Continue to watch our News and Updates for upcoming online training sessions and other educational resources. If you have questions, contact our Provider Education Consultants.

Not registered with Availity? Go to Availity and complete the online application, at no charge. For more information, refer to Availity Portal Attachments Tools – Getting Started Guide .

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 (Blue Cross and Blue Shield of Texas (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.