Patient Name
Amy Williams
MRN
MRN57081
Status
Denied
Requesting From
Community Clinic
Requested Date
9/30/2025
This record request was initiated for continuity of care following the patient's recent relocation. The patient, Amy Williams, has a complex medical history including chronic hypertension and Type 2 Diabetes, managed by Community Clinic. 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.
Hi, I'm just checking on the status of my record transfer. Any updates?
We've updated your address. We'll ensure the records are sent to the correct location.
Thank you for the update! When do you think it will be completed?
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.
The request is still in progress. We expect to have an update within 3-5 business days.
I've uploaded the consent form you requested. Please let me know if you need anything else.
The request is still in progress. We expect to have an update within 3-5 business days.