Request Status
Current stage of the medical record transfer.
Patient Record Request Details
Details for request ID RR012

Patient Name

Timothy King

MRN

MRN63354

Status

Denied

Requesting From

Community Clinic

Requested Date

10/13/2024

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, Timothy King, 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.

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.

T

Is it possible to get a copy of the records sent to my email as well?

Oct 16, 2:26 PM
Y

The request is still in progress. We expect to have an update within 3-5 business days.

Oct 18, 1:56 PM
T

Thanks for your help, I really appreciate it.

Oct 21, 12:25 PM
Y

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

Oct 21, 12:54 PM
T

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

Oct 23, 1:34 PM
Y

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

Oct 24, 2:40 PM
T

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

Oct 27, 8:46 AM
Y

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

Oct 29, 11:49 AM
T

Thanks for your help, I really appreciate it.

Oct 29, 4:01 PM