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ALL Kids Program Claims Audit

Information Obtained from: BCBS of AL Provider News

Blue Cross and Blue Shield of Alabama is assisting in a CMS-mandated claims audit for the ALL Kids Program that requires providers to submit medical records to an independent company for review.

NCI Information Systems, Inc., will request medical records from specific providers for this audit. Providers who receive a medical records request must submit the requested records in a timely manner as outlined by NCI.

The request from the auditing company will include detailed instructions for submitting the medical records. The requests will start being sent to providers in April and continue quarterly through 2022.

If you have questions about this audit, contact Provider Networks at
[email protected].