Request Status
Current stage of the medical record transfer.
Patient Record Request Details
Details for request ID RR024

Patient Name

Scott Gonzalez

MRN

MRN19430

Status

In Progress

Requesting From

Suburban Health

Requested Date

7/19/2026

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, Scott Gonzalez, 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).

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

S

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

Jul 21, 3:01 PM
Y

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

Jul 21, 10:20 PM
S

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

Jul 23, 1:10 PM
Y

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

Jul 25, 9:36 AM
S

Okay, I will follow up with my previous provider to see what's causing the delay.

Jul 26, 6:18 AM
Y

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

Jul 26, 2:07 PM
S

I have an appointment with the new specialist next month, so I'm hoping to have the records by then.

Jul 27, 2:58 AM
Y

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

Jul 29, 7:45 AM