Patient Name
Matthew Walker
MRN
MRN29382
Status
Denied
Requesting From
Central Clinic
Requested Date
7/20/2025
This record request was initiated for continuity of care following the patient's recent relocation. The patient, Matthew Walker, 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.
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.
Hi, I'm just checking on the status of my record transfer. Any updates?
Thank you for following up. Please let us know if they provide any new information.
Okay, I will follow up with my previous provider to see what's causing the delay.
We've initiated the request with your previous provider and are awaiting their response.
Hi, I'm just checking on the status of my record transfer. Any updates?
We've initiated the request with your previous provider and are awaiting their response.
I've uploaded the consent form you requested. Please let me know if you need anything else.