Request Status
Current stage of the medical record transfer.
Patient Record Request Details
Details for request ID RR018

Patient Name

Peter Jackson

MRN

MRN88411

Status

In Progress

Requesting From

Central Clinic

Requested Date

12/20/2024

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, Peter Jackson, 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).

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

P

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

Dec 24, 5:47 PM
Y

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

Dec 26, 12:22 PM
P

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

Dec 28, 4:02 PM
Y

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

Dec 31, 10:35 AM
P

Thanks for your help, I really appreciate it.

Jan 1, 5:00 PM
Y

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

Jan 3, 9:00 PM
P

I've uploaded the consent form you requested. Please let me know if you need anything else.

Jan 6, 7:26 PM
Y

Certainly, we can provide you with a digital copy once the transfer is finalized.

Jan 9, 11:48 AM
P

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

Jan 10, 7:09 PM
Y

We've initiated the request with your previous provider and are awaiting their response.

Jan 13, 12:52 AM
P

I've uploaded the consent form you requested. Please let me know if you need anything else.

Jan 13, 9:39 PM
Y

Certainly, we can provide you with a digital copy once the transfer is finalized.

Jan 14, 1:25 AM
P

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

Jan 15, 12:50 AM
Y

Certainly, we can provide you with a digital copy once the transfer is finalized.

Jan 17, 12:35 AM