Request Status
Current stage of the medical record transfer.
Patient Record Request Details
Details for request ID RR028

Patient Name

David Doe

MRN

MRN68135

Status

Fulfilled

Requesting From

St. Luke's Medical

Requested Date

6/18/2025

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, David Doe, has a complex medical history including chronic hypertension and Type 2 Diabetes, managed by St. Luke's Medical. 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

D

Thanks for your help, I really appreciate it.

Jun 21, 11:17 PM
Y

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

Jun 22, 4:44 PM
D

Hi, I'm just checking on the status of my record transfer. Any updates?

Jun 23, 3:57 PM
Y

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

Jun 23, 6:46 PM
D

Hi, I'm just checking on the status of my record transfer. Any updates?

Jun 24, 1:45 AM
Y

You're welcome. We're happy to help facilitate this process for you.

Jun 24, 11:51 PM