Patient Name
Jeffrey Young
MRN
MRN18875
Status
Denied
Requesting From
City Medical Center
Requested Date
12/6/2025
This record request was initiated for continuity of care following the patient's recent relocation. The patient, Jeffrey Young, has a complex medical history including chronic hypertension and Type 2 Diabetes, managed by City Medical Center. 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).
Denial Reason
The request was denied due to an invalid or expired patient consent form. Please obtain a new consent form from the patient and resubmit the request.
Deductibles
Out-of-Pocket Max
Notes
Coverage terminated on 12/31/2023. Please check for new insurance.
Thank you for the update! When do you think it will be completed?
We're still waiting for some documents from your previous clinic. We'll notify you once we receive them.
Thanks for your help, I really appreciate it.
The request is still in progress. We expect to have an update within 3-5 business days.
Just confirming my new address is on file for the transfer.
The transfer is complete. The records are now available for your specialist.
Just confirming my new address is on file for the transfer.
Thank you for following up. Please let us know if they provide any new information.
Just confirming my new address is on file for the transfer.
Thank you for following up. Please let us know if they provide any new information.
Okay, I will follow up with my previous provider to see what's causing the delay.
The request is still in progress. We expect to have an update within 3-5 business days.
Okay, I will follow up with my previous provider to see what's causing the delay.