Request Status
Current stage of the medical record transfer.
Patient Record Request Details
Details for request ID RR041

Patient Name

Jeffrey Garcia

MRN

MRN90788

Status

In Progress

Requesting From

Mount Sinai

Requested Date

3/6/2023

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, Jeffrey Garcia, has a complex medical history including chronic hypertension and Type 2 Diabetes, managed by Mount Sinai. 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
AI-Generated Medical Summary
This summary was generated by AI and can be edited.

Patient is a 58-year-old male with a history of well-controlled hypertension and Type 2 Diabetes, currently managed with Lisinopril and Metformin. He reports good medication adherence and denies any new symptoms. Vitals are stable. Plan is to continue current treatment and follow up in 3 months.

J

Thanks for your help, I really appreciate it.

Mar 9, 4:23 PM
Y

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

Mar 12, 10:42 AM
J

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

Mar 12, 4:47 PM