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Provider Guidelines: Non-Standard (Medical Record) Supplemental Data for HEDIS Gap Closure

Correct coding is the most accurate way to capture clinical quality data. However, when the gap is not closed via claims, non-standard supplemental data may be submitted. To be HIPAA compliant when submitting this data, please provide only the necessary documentation required to close the gap in care. All supplemental data must include:

  • Patient's name
  • Patient's date of birth (If the birth date is not officially on the progress note, it must be written on documentation and signed by the physician or a demographic cover sheet should be submitted.)
  • Date of service (month, day, year)
  • Provider identified by name and credentials (paper charts must have provider's signature or stamp)