Request Status
Current stage of the medical record transfer.
Patient Record Request Details
Details for request ID RR010

Patient Name

Brian Smith

MRN

MRN68168

Status

Denied

Requesting From

University Hospital

Requested Date

5/9/2026

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, Brian Smith, 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.

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.

B

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

May 13, 12:43 PM
Y

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

May 13, 4:40 PM
B

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

May 14, 6:52 PM
Y

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

May 15, 11:43 PM
B

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

May 16, 11:39 AM
Y

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

May 17, 1:43 AM
B

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

May 17, 7:57 PM
Y

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

May 19, 5:37 AM
B

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

May 20, 1:06 AM
Y

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

May 20, 8:23 AM
B

Hi, I'm just checking on the status of my record transfer. Any updates?

May 22, 2:58 PM
Y

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

May 23, 2:24 AM
B

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

May 23, 6:43 AM
Y

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

May 23, 8:02 PM