HEDIS Resources

Portal del Proveedor

• ¡El equipo de alcance Portal del Proveedor offers reports that utilize data from provider claims, laboratory, immunization registries and pharmacy, in addition to other data submitted to the portal for relevant Care-Based Incentive (CBI) and HEDIS measures. These reports are available to assist providers in monitoring patients that may be due for preventative services. Note: Data on the Provider Portal is subject to claims lag.
• The Alliance’s Data Submission Tool on the Portal del Proveedor allows providers to upload data files to increase compliance in CBI and HEDIS measures. Please see the Data Submission Tool Guide on the Provider Portal for a list of data that is accepted, along with step-by-step instructions on how to submit your data.

HEDIS Code Set

HEDIS FAQ Guide