Patient Name
Jessica Lopez
MRN
MRN65205
Status
Denied
Requesting From
Suburban Health
Requested Date
4/9/2023
This record request was initiated for continuity of care following the patient's recent relocation. The patient, Jessica Lopez, has a complex medical history including chronic hypertension and Type 2 Diabetes, managed by Suburban Health. 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?
The transfer is complete. The records are now available for your specialist.
I've uploaded the consent form you requested. Please let me know if you need anything else.
The request is still in progress. We expect to have an update within 3-5 business days.
Just confirming my new address is on file for the transfer.
We're still waiting for some documents from your previous clinic. We'll notify you once we receive them.
I've uploaded the consent form you requested. Please let me know if you need anything else.
The request is still in progress. We expect to have an update within 3-5 business days.
Can you confirm you received the documents I sent over last week?
The transfer is complete. The records are now available for your specialist.