Request Status
Current stage of the medical record transfer.
Patient Record Request Details
Details for request ID RR001

Patient Name

Mark Miller

MRN

MRN65447

Status

Fulfilled

Requesting From

City Medical Center

Requested Date

11/8/2023

Case Details
Additional information and context for this request.

This record request was initiated for continuity of care following the patient's recent relocation. The patient, Mark Miller, has a complex medical history including chronic hypertension and Type 2 Diabetes, managed by City Medical Center. We require the last 24 months of clinical notes, lab results, and imaging reports to ensure a safe and effective transition to our practice.

Please expedite this request as the patient has an upcoming appointment for medication management. The signed patient consent form is attached to the electronic request sent via the health information exchange (HIE).

Eligibility Results
Patient's coverage details based on last check.
StatusActive
Plan NameBlueCross PPO Gold
Coverage Dates01/01/2024 - 12/31/2024
Primary Care Co-pay$25
Specialist Co-pay$50

Deductibles

Individual$850.75 / $1,500
Family$1,250.00 / $3,000

Out-of-Pocket Max

Individual$2,100.50 / $5,000
Family$3,500.00 / $10,000
AI-Generated Medical Summary
This summary was generated by AI and can be edited.

Patient is a 58-year-old male with a history of well-controlled hypertension and Type 2 Diabetes, currently managed with Lisinopril and Metformin. He reports good medication adherence and denies any new symptoms. Vitals are stable. Plan is to continue current treatment and follow up in 3 months.

M

Just confirming my new address is on file for the transfer.

Nov 10, 11:31 PM
Y

We've received your consent form. The records should be transferred shortly.

Nov 13, 4:14 AM
M

I've uploaded the consent form you requested. Please let me know if you need anything else.

Nov 14, 5:16 AM
Y

Thank you for following up. Please let us know if they provide any new information.

Nov 16, 12:38 AM
M

I've uploaded the consent form you requested. Please let me know if you need anything else.

Nov 16, 12:00 PM
Y

Certainly, we can provide you with a digital copy once the transfer is finalized.

Nov 19, 9:12 AM
M

Thank you for the update! When do you think it will be completed?

Nov 22, 4:28 AM
Y

The transfer is complete. The records are now available for your specialist.

Nov 24, 5:10 PM
M

I've uploaded the consent form you requested. Please let me know if you need anything else.

Nov 27, 7:36 AM
Y

We've initiated the request with your previous provider and are awaiting their response.

Nov 29, 2:54 AM
M

Is it possible to get a copy of the records sent to my email as well?

Dec 1, 1:09 PM
Y

Certainly, we can provide you with a digital copy once the transfer is finalized.

Dec 3, 5:33 PM
M

Thank you for the update! When do you think it will be completed?

Dec 6, 8:00 AM
Y

You're welcome. We're happy to help facilitate this process for you.

Dec 8, 2:24 AM