July 7, 2022
As part of the Affordable Care Act (ACA), The Centers for Medicare and Medicaid Services (CMS) conducts an annual audit of health plans. The Department of Health and Human Services (HHS) requires Premera Blue Cross Blue Shield of Alaska to participate
in this audit for a sample of members both on and off the Alaska Health Insurance Exchange.
The Risk Adjustment Data Validation (RADV) audit for 2021 date(s) of service is now in process. Provider offices may receive a request for medical records from Cognisight or directly from Premera. If you don’t receive a letter, you do not need to do anything.