Request Status
Current stage of the medical record transfer.
Patient Record Request Details
Details for request ID RR005

Patient Name

Stephanie Brown

MRN

MRN21128

Status

Denied

Requesting From

Central Clinic

Requested Date

12/12/2024

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, Stephanie Brown, 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.

Eligibility Results
Patient's coverage details based on last check.
StatusInactive
Plan NameUnitedHealthcare Choice Plus
Coverage Dates01/01/2023 - 12/31/2023
Primary Care Co-payN/A
Specialist Co-payN/A

Deductibles

IndividualN/A / N/A
FamilyN/A / N/A

Out-of-Pocket Max

IndividualN/A / N/A
FamilyN/A / N/A

Notes

Coverage terminated on 12/31/2023. Please check for new insurance.

S

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

Dec 16, 2:15 AM
Y

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

Dec 18, 4:26 AM
S

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

Dec 18, 9:28 AM
Y

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

Dec 20, 8:32 PM
S

Okay, I will follow up with my previous provider to see what's causing the delay.

Dec 21, 9:23 PM
Y

We've updated your address. We'll ensure the records are sent to the correct location.

Dec 24, 9:54 AM
S

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

Dec 25, 4:31 AM
Y

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

Dec 26, 6:13 AM
S

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

Dec 27, 10:54 PM
Y

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

Dec 30, 2:55 AM
S

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

Dec 31, 4:05 AM
Y

We're still waiting for some documents from your previous clinic. We'll notify you once we receive them.

Jan 2, 8:54 PM