Request Status
Current stage of the medical record transfer.
Patient Record Request Details
Details for request ID RR014

Patient Name

Melissa Davis

MRN

MRN15105

Status

In Progress

Requesting From

General Hospital

Requested Date

1/14/2023

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, Melissa Davis, 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).

Eligibility Results
Patient's coverage details based on last check.
StatusActive
Plan NameBlueCross PPO Gold
Coverage Dates01/01/2024 - 12/31/2024
Primary Care Co-pay$25
Specialist Co-pay$50

Deductibles

Individual$850.75 / $1,500
Family$1,250.00 / $3,000

Out-of-Pocket Max

Individual$2,100.50 / $5,000
Family$3,500.00 / $10,000

M

Thank you for the update! When do you think it will be completed?

Jan 18, 5:08 PM
Y

We've updated your address. We'll ensure the records are sent to the correct location.

Jan 20, 1:55 AM
M

Thank you for the update! When do you think it will be completed?

Jan 22, 5:58 PM
Y

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

Jan 24, 2:57 AM