Reminder: Beginning September 1, 2025, all clinical records necessary to complete medical necessity reviews must be available by EMR or submitted by fax within 24 hours of acute inpatient hospital medical admissions. This timeframe coincides with our 24-hour inpatient admission notification requirements.
We will no longer provide clinical records deadlines when we fax acknowledgment of admissions notification.
- If you use PointClickCare (PCC) and grant electronic medical record (EMR) access, you will not experience a change in process. Ensure records are viewable in your EMR within 24 hours of admission.
- If you don’t grant EMR access, fax complete clinical records within 24 hours of admission. The face sheet and/or admission diagnosis alone are not sufficient. Contact your provider relations executive to learn more about connecting your EMR.
If a facility does not submit clinical records within 24 hours of admission, the admission may be administratively denied as provider liability.
View our authorization and records requirements on our pre-authorization list.
8/5/2025
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