Request Status
Current stage of the medical record transfer.
Patient Record Request Details
Details for request ID RR013

Patient Name

Stephanie Smith

MRN

MRN86146

Status

Denied

Requesting From

City Medical Center

Requested Date

5/18/2023

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, Stephanie Smith, 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.

S

Thanks for your help, I really appreciate it.

May 22, 1:29 AM
Y

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

May 22, 2:55 AM
S

Thanks for your help, I really appreciate it.

May 24, 7:08 AM
Y

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

May 26, 8:24 PM
S

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

May 27, 8:02 AM
Y

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

May 30, 3:35 AM
S

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

Jun 2, 1:02 AM