Patient Name
Kevin Jackson
MRN
MRN35007
Status
Denied
Requesting From
City Medical Center
Requested Date
1/11/2026
This record request was initiated for continuity of care following the patient's recent relocation. The patient, Kevin Jackson, 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).
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.
Thanks for your help, I really appreciate it.
The request is still in progress. We expect to have an update within 3-5 business days.
Thank you for the update! When do you think it will be completed?
We've initiated the request with your previous provider and are awaiting their response.
Thank you for the update! When do you think it will be completed?
You're welcome. We're happy to help facilitate this process for you.
I've uploaded the consent form you requested. Please let me know if you need anything else.
The request is still in progress. We expect to have an update within 3-5 business days.
Thank you for the update! When do you think it will be completed?