Request Status
Current stage of the medical record transfer.
Patient Record Request Details
Details for request ID RR008

Patient Name

Michelle Brown

MRN

MRN51041

Status

Denied

Requesting From

General Hospital

Requested Date

1/24/2024

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, Michelle Brown, has a complex medical history including chronic hypertension and Type 2 Diabetes, managed by General 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.

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.

M

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

Jan 25, 8:36 AM
Y

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

Jan 28, 1:29 AM
M

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

Jan 30, 7:46 AM
Y

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

Jan 30, 2:30 PM