Request Status
Current stage of the medical record transfer.
Patient Record Request Details
Details for request ID RR025

Patient Name

Stephanie Davis

MRN

MRN97758

Status

In Progress

Requesting From

Central Clinic

Requested Date

4/29/2025

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, Stephanie Davis, 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

S

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

Apr 30, 6:21 PM
Y

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

May 1, 3:10 AM
S

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

May 2, 8:34 AM
Y

The request is still in progress. We expect to have an update within 3-5 business days.

May 3, 8:37 PM
S

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

May 5, 7:57 PM
Y

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

May 5, 9:10 PM
S

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

May 7, 2:22 AM