Request Status
Current stage of the medical record transfer.
Patient Record Request Details
Details for request ID RR011

Patient Name

Sarah Brown

MRN

MRN82614

Status

Denied

Requesting From

General Hospital

Requested Date

10/28/2025

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, Sarah 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.

AI-Generated Medical Summary
This summary was generated by AI and can be edited.

Patient is a 58-year-old male with a history of well-controlled hypertension and Type 2 Diabetes, currently managed with Lisinopril and Metformin. He reports good medication adherence and denies any new symptoms. Vitals are stable. Plan is to continue current treatment and follow up in 3 months.

S

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

Oct 30, 8:24 PM
Y

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

Nov 1, 7:10 PM
S

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

Nov 2, 5:10 PM
Y

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

Nov 5, 5:14 AM
S

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

Nov 7, 2:04 AM
Y

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

Nov 9, 9:41 PM
S

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

Nov 12, 8:06 AM
Y

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

Nov 12, 3:01 PM
S

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

Nov 13, 11:28 AM
Y

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

Nov 13, 10:58 PM