Request Status
Current stage of the medical record transfer.
Patient Record Request Details
Details for request ID RR037

Patient Name

David Young

MRN

MRN67381

Status

Fulfilled

Requesting From

Central Clinic

Requested Date

6/22/2024

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, David Young, 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).

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

D

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

Jun 24, 4:27 PM
Y

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

Jun 27, 1:55 PM
D

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

Jun 29, 6:05 PM
Y

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

Jun 30, 6:31 PM
D

Thanks for your help, I really appreciate it.

Jul 1, 8:39 PM
Y

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

Jul 2, 4:10 PM
D

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

Jul 3, 11:58 AM