Request Status
Current stage of the medical record transfer.
Patient Record Request Details
Details for request ID RR035

Patient Name

Rebecca Moore

MRN

MRN37329

Status

In Progress

Requesting From

Mercy General

Requested Date

4/25/2025

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, Rebecca Moore, 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).

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

R

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

Apr 27, 1:48 PM
Y

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

Apr 28, 7:41 AM
R

Thank you for the update! When do you think it will be completed?

Apr 29, 9:22 AM
Y

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

Apr 29, 11:13 PM
R

Thanks for your help, I really appreciate it.

May 1, 2:40 PM
Y

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

May 4, 6:25 AM
R

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

May 4, 11:20 AM
Y

We've updated your address. We'll ensure the records are sent to the correct location.

May 5, 1:03 PM