What is a records audit request?

A records audit request asks you or your provider to send medical records or an itemized breakdown so your plan can review a specific claim.

Your plan is reviewing a claim and needs supporting documentation to finish processing it. Providers usually receive and handle these directly, so you may only need to confirm or forward it.

For records, an itemized bill, or details about the care behind a claim. It will name the claim or date of service it is reviewing.

If an audit request goes unanswered, the plan may delay or deny the claim being reviewed until it has the records. Providers usually handle these directly. We can’t predict what your plan will do in your specific case. This is how these requests generally work.