Patient Name
Jennifer Martin
MRN
MRN36486
Status
Denied
Requesting From
Mercy General
Requested Date
7/17/2026
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.
Deductibles
Out-of-Pocket Max
Notes
Coverage terminated on 12/31/2023. Please check for new insurance.
Thank you for the update! When do you think it will be completed?
Thank you for following up. Please let us know if they provide any new information.
Is it possible to get a copy of the records sent to my email as well?
Thank you for following up. Please let us know if they provide any new information.
Can you confirm you received the documents I sent over last week?
We've received your consent form. The records should be transferred shortly.
Hi, I'm just checking on the status of my record transfer. Any updates?
You're welcome. We're happy to help facilitate this process for you.
I have an appointment with the new specialist next month, so I'm hoping to have the records by then.
Thank you for following up. Please let us know if they provide any new information.
Is it possible to get a copy of the records sent to my email as well?