Request Status
Current stage of the medical record transfer.
Patient Record Request Details
Details for request ID RR033

Patient Name

Jane Lee

MRN

MRN62570

Status

Denied

Requesting From

St. Luke's Medical

Requested Date

5/27/2024

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, Jane Lee, 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).

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.

J

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

May 30, 11:15 AM
Y

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

May 31, 5:31 AM
J

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

Jun 1, 2:29 PM
Y

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

Jun 3, 2:17 AM
J

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

Jun 4, 3:07 AM
Y

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

Jun 6, 5:30 AM
J

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

Jun 7, 3:56 PM
Y

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

Jun 7, 5:13 PM
J

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

Jun 7, 7:00 PM
Y

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

Jun 9, 2:41 PM
J

Thanks for your help, I really appreciate it.

Jun 9, 4:02 PM
Y

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

Jun 10, 10:03 PM