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

Patient Name

Donna Brown

MRN

MRN19787

Status

In Progress

Requesting From

Community Clinic

Requested Date

9/7/2024

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, Donna Brown, 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).

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

D

Just confirming my new address is on file for the transfer.

Sep 10, 8:33 PM
Y

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

Sep 13, 9:20 AM
D

Thanks for your help, I really appreciate it.

Sep 14, 5:19 AM
Y

The transfer is complete. The records are now available for your specialist.

Sep 16, 5:15 AM
D

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

Sep 17, 7:44 PM
Y

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

Sep 17, 9:05 PM
D

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

Sep 19, 10:45 AM
Y

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

Sep 21, 9:23 AM