Request Status
Current stage of the medical record transfer.
Patient Record Request Details
Details for request ID RR045

Patient Name

Steven Baker

MRN

MRN70612

Status

In Progress

Requesting From

Central Clinic

Requested Date

2/15/2024

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, Steven Baker, 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

S

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

Feb 18, 8:51 PM
Y

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

Feb 20, 5:18 AM
S

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

Feb 21, 6:57 PM
Y

We've received your consent form. The records should be transferred shortly.

Feb 22, 3:10 PM
S

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

Feb 24, 4:10 AM
Y

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

Feb 24, 6:45 AM