Request Status
Current stage of the medical record transfer.
Patient Record Request Details
Details for request ID RR036

Patient Name

Mark Brown

MRN

MRN22070

Status

In Progress

Requesting From

Mercy General

Requested Date

9/22/2023

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, Mark Brown, 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

M

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

Sep 26, 12:30 AM
Y

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

Sep 28, 6:03 AM
M

I have an appointment with the new specialist next month, so I'm hoping to have the records by then.

Sep 28, 9:29 PM
Y

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

Oct 1, 11:22 AM
M

I have an appointment with the new specialist next month, so I'm hoping to have the records by then.

Oct 3, 9:45 PM
Y

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

Oct 4, 10:03 AM
M

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

Oct 5, 7:13 AM