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Help Your Members
Beginning May 11th, 2021, Blue Cross and Blue Shield of North Carolina (Blue Cross NC) will begin to request medical records with dates of service of 1/1/2020 to 12/31/2020 for Medicare Risk Adjustment (MRA).
MRA refers to the process by which Centers for Medicare & Medicaid Services (CMS) adjusts Part C payments made to Medicare Advantage plans to account for expected costs of care based on factors associated with member demographics and health. The goals of risk adjustment are:
What we need from you
Once an employee of Blue Cross NC contacts you to obtain medical charts, please respond to the request within five (5) business days.
If you have any questions about this program, please contact George Taylor at 919-765-2750 or George.Taylor@bcbsnc.com.
Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. Learn more about our non-discrimination policy and no-cost services available to you.
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© 2023 Blue Cross and Blue Shield of North Carolina. ®, SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. Blue Cross NC is an abbreviation for Blue Cross and Blue Shield of North Carolina. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association.