Patient Name
Jason Phillips
MRN
MRN52468
Status
Denied
Requesting From
Community Clinic
Requested Date
8/12/2026
This record request was initiated for continuity of care following the patient's recent relocation. The patient, Jason Phillips, has a complex medical history including chronic hypertension and Type 2 Diabetes, managed by Community Clinic. 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.
Deductibles
Out-of-Pocket Max
Notes
Coverage terminated on 12/31/2023. Please check for new insurance.
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.
Okay, I will follow up with my previous provider to see what's causing the delay.
We're still waiting for some documents from your previous clinic. We'll notify you once we receive them.
Just confirming my new address is on file for the transfer.
You're welcome. We're happy to help facilitate this process for you.