Patient Name
Lisa Smith
MRN
MRN68678
Status
Denied
Requesting From
Mercy General
Requested Date
1/2/2023
This record request was initiated for continuity of care following the patient's recent relocation. The patient, Lisa Smith, has a complex medical history including chronic hypertension and Type 2 Diabetes, managed by Mercy General. 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.
Thanks for your help, I really appreciate it.
We're still waiting for some documents from your previous clinic. We'll notify you once we receive them.
Just confirming my new address is on file for the transfer.
We've received your consent form. The records should be transferred shortly.
I've uploaded the consent form you requested. Please let me know if you need anything else.
We're still waiting for some documents from your previous clinic. We'll notify you once we receive them.