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

Patient Name

William Lewis

MRN

MRN22309

Status

Fulfilled

Requesting From

Mount Sinai

Requested Date

10/13/2025

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, William Lewis, has a complex medical history including chronic hypertension and Type 2 Diabetes, managed by Mount Sinai. 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

W

Is it possible to get a copy of the records sent to my email as well?

Oct 15, 9:32 PM
Y

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

Oct 16, 3:28 PM
W

Thanks for your help, I really appreciate it.

Oct 19, 10:38 AM
Y

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

Oct 21, 2:59 PM
W

Thanks for your help, I really appreciate it.

Oct 23, 4:25 AM
Y

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

Oct 25, 1:11 AM
W

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

Oct 26, 3:46 PM
Y

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

Oct 26, 11:59 PM
W

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

Oct 28, 4:01 AM
Y

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

Oct 30, 7:13 AM
W

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

Oct 31, 11:11 AM
Y

We've updated your address. We'll ensure the records are sent to the correct location.

Nov 3, 2:26 AM