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

Patient Name

Sharon Clark

MRN

MRN38069

Status

In Progress

Requesting From

St. Luke's Medical

Requested Date

5/9/2025

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, Sharon Clark, 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

S

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

May 10, 11:40 AM
Y

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

May 13, 3:20 AM
S

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

May 14, 1:18 PM
Y

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

May 17, 2:51 AM
S

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

May 18, 2:59 PM
Y

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

May 20, 6:42 PM
S

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

May 21, 6:49 AM
Y

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

May 22, 2:20 PM