Patient Name
Carol Lee
MRN
MRN94936
Status
Denied
Requesting From
University Hospital
Requested Date
11/26/2025
This record request was initiated for continuity of care following the patient's recent relocation. The patient, Carol Lee, has a complex medical history including chronic hypertension and Type 2 Diabetes, managed by University Hospital. 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.
Certainly, we can provide you with a digital copy once the transfer is finalized.
I have an appointment with the new specialist next month, so I'm hoping to have the records by then.
We've updated your address. We'll ensure the records are sent to the correct location.
Hi, I'm just checking on the status of my record transfer. Any updates?
We've received your consent form. The records should be transferred shortly.
Just confirming my new address is on file for the transfer.
Certainly, we can provide you with a digital copy once the transfer is finalized.