Request Status
Current stage of the medical record transfer.
Patient Record Request Details
Details for request ID RR030

Patient Name

Deborah Campbell

MRN

MRN19568

Status

Fulfilled

Requesting From

University Hospital

Requested Date

3/23/2025

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, Deborah Campbell, has a complex medical history including chronic hypertension and Type 2 Diabetes, managed by University Hospital. 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

Okay, I will follow up with my previous provider to see what's causing the delay.

Mar 26, 8:39 PM
Y

Thank you for following up. Please let us know if they provide any new information.

Mar 28, 1:40 AM
D

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

Mar 30, 9:34 AM
Y

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

Apr 1, 1:16 AM
D

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

Apr 2, 10:41 PM
Y

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

Apr 5, 6:36 PM
D

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

Apr 6, 3:45 AM