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10.24.2025 Proof of Service Requirements for Supplemental Data What is acceptable proof of service documentation for data in a supplemental source?

Proof of service is the primary source documentation for a service or a result (not a secondary representation of the information), and should originate from the source system where it was first documented.

Acceptable proof of service:

  • A copy of the information from the member’s chart from the service provider or PCP.
  • A copy of the clinical report or clinical summary from the visit for service, such as lab or radiology reports.
  • A screen shot of the EHR records or state- or county-sponsored immunization registry records.

Proof of service is primary source documentation, not a secondary representation of that information. The following provide examples that are not considered proof of service:

  • C-CDA or FHIR files are electronically generated, and are not proof of service. 
  • Attestation forms are not the original source of documentation for an encounter, and are not proof of a service or result. 

HEDIS MY 2026