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

Patient Name

William Martin

MRN

MRN41987

Status

In Progress

Requesting From

Mount Sinai

Requested Date

6/16/2023

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 Martin, 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

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

Jun 18, 12:17 AM
Y

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

Jun 20, 3:46 AM
W

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

Jun 22, 2:45 PM
Y

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

Jun 23, 8:14 PM
W

Thanks for your help, I really appreciate it.

Jun 24, 11:18 AM
Y

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

Jun 25, 11:04 AM
W

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

Jun 25, 11:34 AM