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

Patient Name

Gary Allen

MRN

MRN46278

Status

Denied

Requesting From

Suburban Health

Requested Date

7/7/2025

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, Gary Allen, has a complex medical history including chronic hypertension and Type 2 Diabetes, managed by Suburban Health. 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.

Eligibility Results
Patient's coverage details based on last check.
StatusInactive
Plan NameUnitedHealthcare Choice Plus
Coverage Dates01/01/2023 - 12/31/2023
Primary Care Co-payN/A
Specialist Co-payN/A

Deductibles

IndividualN/A / N/A
FamilyN/A / N/A

Out-of-Pocket Max

IndividualN/A / N/A
FamilyN/A / N/A

Notes

Coverage terminated on 12/31/2023. Please check for new insurance.

G

Thanks for your help, I really appreciate it.

Jul 11, 7:09 PM
Y

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

Jul 12, 5:51 PM
G

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

Jul 13, 7:53 PM
Y

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

Jul 14, 6:39 AM
G

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

Jul 16, 10:18 PM
Y

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

Jul 18, 4:59 PM
G

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

Jul 20, 1:09 AM
Y

The request is still in progress. We expect to have an update within 3-5 business days.

Jul 22, 11:02 AM
G

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

Jul 24, 10:49 AM
Y

We're still waiting for some documents from your previous clinic. We'll notify you once we receive them.

Jul 26, 9:11 PM
G

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

Jul 28, 10:18 PM
Y

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

Jul 31, 8:10 AM
G

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

Aug 2, 1:17 PM