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

Patient Name

Deborah Hernandez

MRN

MRN14201

Status

Denied

Requesting From

Mercy General

Requested Date

1/2/2024

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, Deborah Hernandez, has a complex medical history including chronic hypertension and Type 2 Diabetes, managed by Mercy General. 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.

D

I have an appointment with the new specialist next month, so I'm hoping to have the records by then.

Jan 3, 4:31 PM
Y

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

Jan 4, 4:16 PM
D

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

Jan 7, 8:12 AM
Y

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

Jan 10, 8:06 AM
D

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

Jan 11, 9:23 AM
Y

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

Jan 12, 2:12 PM
D

I have an appointment with the new specialist next month, so I'm hoping to have the records by then.

Jan 15, 7:03 AM
Y

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

Jan 17, 11:07 AM
D

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

Jan 17, 5:56 PM
Y

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

Jan 19, 12:13 PM
D

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

Jan 22, 10:56 AM