Request Status
Current stage of the medical record transfer.
Patient Record Request Details
Details for request ID RR002

Patient Name

Michelle Hernandez

MRN

MRN32969

Status

Fulfilled

Requesting From

Mount Sinai

Requested Date

4/8/2023

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, Michelle Hernandez, has a complex medical history including chronic hypertension and Type 2 Diabetes, managed by Mount Sinai. 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

M

Can you confirm you received the documents I sent over last week?

Apr 9, 5:46 AM
Y

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

Apr 9, 6:59 AM
M

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

Apr 9, 7:24 AM
Y

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

Apr 9, 12:46 PM
M

Hi, I'm just checking on the status of my record transfer. Any updates?

Apr 11, 7:52 PM