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

Patient Name

Mary Martinez

MRN

MRN40937

Status

Denied

Requesting From

City Medical Center

Requested Date

3/27/2026

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, Mary Martinez, has a complex medical history including chronic hypertension and Type 2 Diabetes, managed by City Medical Center. 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

Thanks for your help, I really appreciate it.

Mar 30, 7:12 PM
Y

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

Mar 31, 2:59 PM
M

Okay, I will follow up with my previous provider to see what's causing the delay.

Apr 2, 9:33 AM
Y

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

Apr 2, 10:45 PM
M

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

Apr 5, 6:40 AM
Y

Certainly, we can provide you with a digital copy once the transfer is finalized.

Apr 6, 1:12 AM
M

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

Apr 7, 10:21 AM
Y

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

Apr 8, 7:37 AM
M

Okay, I will follow up with my previous provider to see what's causing the delay.

Apr 8, 10:19 AM
Y

Certainly, we can provide you with a digital copy once the transfer is finalized.

Apr 11, 6:10 AM
M

Okay, I will follow up with my previous provider to see what's causing the delay.

Apr 13, 8:55 AM
Y

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

Apr 15, 12:01 AM
M

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

Apr 15, 10:20 AM
Y

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

Apr 18, 12:35 AM