Request Status
Current stage of the medical record transfer.
Patient Record Request Details
Details for request ID RR015

Patient Name

Jennifer Martin

MRN

MRN36486

Status

Denied

Requesting From

Mercy General

Requested Date

7/17/2026

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, Jennifer Martin, has a complex medical history including chronic hypertension and Type 2 Diabetes, managed by Mercy General. 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.

J

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

Jul 19, 11:14 AM
Y

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

Jul 20, 3:46 PM
J

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

Jul 23, 10:23 AM
Y

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

Jul 25, 4:50 AM
J

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

Jul 25, 4:26 PM
Y

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

Jul 26, 11:09 PM
J

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

Jul 28, 9:40 AM
Y

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

Jul 29, 10:51 PM
J

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

Jul 30, 7:40 AM
Y

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

Jul 30, 5:09 PM
J

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

Aug 2, 3:29 AM