Request Status
Current stage of the medical record transfer.
Patient Record Request Details
Details for request ID RR034

Patient Name

Jessica Doe

MRN

MRN83382

Status

Denied

Requesting From

Central Clinic

Requested Date

9/14/2023

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, Jessica Doe, has a complex medical history including chronic hypertension and Type 2 Diabetes, managed by Central 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.

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?

Sep 16, 6:46 AM
Y

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

Sep 18, 8:24 PM
J

Okay, I will follow up with my previous provider to see what's causing the delay.

Sep 20, 10:33 AM
Y

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

Sep 23, 1:33 AM
J

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

Sep 25, 6:09 PM
Y

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

Sep 28, 5:48 AM
J

Okay, I will follow up with my previous provider to see what's causing the delay.

Sep 28, 10:11 AM
Y

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

Oct 1, 1:11 AM
J

Okay, I will follow up with my previous provider to see what's causing the delay.

Oct 2, 3:44 AM
Y

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

Oct 3, 5:59 PM