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

Patient Name

Amanda Hernandez

MRN

MRN43728

Status

Fulfilled

Requesting From

Mount Sinai

Requested Date

6/25/2026

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, Amanda Hernandez, 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

A

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

Jun 29, 8:24 AM
Y

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

Jun 29, 10:56 PM
A

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

Jul 1, 6:43 PM
Y

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

Jul 1, 7:36 PM
A

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

Jul 2, 11:36 PM