Patient Name
Jessica Williams
MRN
MRN42040
Status
Denied
Requesting From
Central Clinic
Requested Date
6/23/2025
This record request was initiated for continuity of care following the patient's recent relocation. The patient, Jessica Williams, has a complex medical history including chronic hypertension and Type 2 Diabetes, managed by Central Clinic. 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).
Denial Reason
The request was denied due to an invalid or expired patient consent form. Please obtain a new consent form from the patient and resubmit the request.
Deductibles
Out-of-Pocket Max
Notes
Coverage terminated on 12/31/2023. Please check for new insurance.
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.
I have an appointment with the new specialist next month, so I'm hoping to have the records by then.
You're welcome. We're happy to help facilitate this process for you.
Okay, I will follow up with my previous provider to see what's causing the delay.
Certainly, we can provide you with a digital copy once the transfer is finalized.
Is it possible to get a copy of the records sent to my email as well?
We've initiated the request with your previous provider and are awaiting their response.
Can you confirm you received the documents I sent over last week?
We've updated your address. We'll ensure the records are sent to the correct location.