Medical Records for Post Payment Review - Washington State Local Health Insurance - CHPW
Community Health Plan of Washington Apple Health Medicaid Plan Community Health Plan of Washington Apple Health Medicaid Plan

Medical Records for Post Payment Review

CHPW requires providers/facilities provide complete/accurate records timely. Retrieval and duplication of records will be at the provider’s expense.

CHPW prefers that medical record documentation be sent electronically via fax, secure email, CD, or thumb drive.

Sending records electronically means we’ll receive them faster, reducing your risk of having claims denied for non-receipt of records.

CHPW does not check third party portals or websites for records that were requested for post payment review. Providers must notify CHPW when records are ready for retrieval from the third party vendor. Send notifications to [email protected]. More information is available in the “Post Payment Review (PPR)” and “Medical Records for Post Payment Review” sections of the CHPW Provider Manual.

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