Patient Name
Mary Doe
MRN
MRN61658
Status
Denied
Requesting From
St. Luke's Medical
Requested Date
3/9/2025
This record request was initiated for continuity of care following the patient's recent relocation. The patient, Mary Doe, has a complex medical history including chronic hypertension and Type 2 Diabetes, managed by St. Luke's Medical. 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.
Okay, I will follow up with my previous provider to see what's causing the delay.
We've updated your address. We'll ensure the records are sent to the correct location.
Okay, I will follow up with my previous provider to see what's causing the delay.
We're still waiting for some documents from your previous clinic. We'll notify you once we receive them.