Request Status
Current stage of the medical record transfer.
Patient Record Request Details
Details for request ID RR009

Patient Name

Gary Anderson

MRN

MRN54749

Status

Denied

Requesting From

Mercy General

Requested Date

8/14/2024

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, Gary Anderson, 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.

G

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

Aug 16, 5:04 PM
Y

You're welcome. We're happy to help facilitate this process for you.

Aug 19, 2:18 PM
G

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

Aug 20, 3:47 AM
Y

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

Aug 21, 3:58 AM
G

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

Aug 23, 12:59 PM
Y

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

Aug 23, 11:25 PM
G

Thanks for your help, I really appreciate it.

Aug 24, 4:20 AM
Y

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

Aug 25, 5:54 PM
G

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

Aug 27, 3:21 PM
Y

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

Aug 27, 7:09 PM
G

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

Aug 29, 11:36 AM
Y

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

Aug 30, 11:32 AM