Risk Adjustment Services Including Retrospective Chart Review

The Inland Empire Health Plan is seeking a vendor to provide risk adjustment services, including retrospective chart review. The vendor will retrieve and review records maintained by IEHP-identified providers for targeted members to abstract predetermined diagnosis codes and relevant clinical documentation. The contract includes projects such as targeted member pursuit file and data exchanges, record retrieval, and more. • The vendor will provide risk adjustment services, including retrospective chart review. • The vendor will retrieve and review records maintained by IEHP-identified providers. • The contract includes various projects, such as targeted member pursuit file and data exchanges, record retrieval, and more. • The vendor will abstract predetermined diagnosis codes and relevant clinical documentation. • The contract was published on August 5, 2016, and the bid submission date was August 30, 2016.