Patient Name
Jeffrey Doe
MRN
MRN77367
Status
Denied
Requesting From
Central Clinic
Requested Date
1/14/2023
This record request was initiated for continuity of care following the patient's recent relocation. The patient, Jeffrey Doe, has a complex medical history including chronic hypertension and Type 2 Diabetes, managed by Central 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).
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?
Certainly, we can provide you with a digital copy once the transfer is finalized.
Can you confirm you received the documents I sent over last week?
Thank you for following up. Please let us know if they provide any new information.
Hi, I'm just checking on the status of my record transfer. Any updates?
We've updated your address. We'll ensure the records are sent to the correct location.
Thanks for your help, I really appreciate it.
We've received your consent form. The records should be transferred shortly.
Just confirming my new address is on file for the transfer.
We've received your consent form. The records should be transferred shortly.