Request Status
Current stage of the medical record transfer.
Patient Record Request Details
Details for request ID RR047

Patient Name

Mary Gonzalez

MRN

MRN86230

Status

Denied

Requesting From

Suburban Health

Requested Date

10/16/2024

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, Mary Gonzalez, has a complex medical history including chronic hypertension and Type 2 Diabetes, managed by Suburban Health. 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).

Denial Reason

The request was denied due to an invalid or expired patient consent form. Please obtain a new consent form from the patient and resubmit the request.

Eligibility Results
Patient's coverage details based on last check.
StatusInactive
Plan NameUnitedHealthcare Choice Plus
Coverage Dates01/01/2023 - 12/31/2023
Primary Care Co-payN/A
Specialist Co-payN/A

Deductibles

IndividualN/A / N/A
FamilyN/A / N/A

Out-of-Pocket Max

IndividualN/A / N/A
FamilyN/A / N/A

Notes

Coverage terminated on 12/31/2023. Please check for new insurance.

M

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

Oct 17, 4:24 PM
Y

We're still waiting for some documents from your previous clinic. We'll notify you once we receive them.

Oct 18, 10:19 PM
M

Thanks for your help, I really appreciate it.

Oct 20, 11:32 AM
Y

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

Oct 20, 6:35 PM
M

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

Oct 21, 3:04 AM
Y

The request is still in progress. We expect to have an update within 3-5 business days.

Oct 21, 12:04 PM
M

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

Oct 22, 5:44 PM
Y

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

Oct 24, 1:09 AM
M

Thanks for your help, I really appreciate it.

Oct 24, 9:55 AM
Y

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

Oct 27, 6:20 AM
M

Okay, I will follow up with my previous provider to see what's causing the delay.

Oct 28, 4:59 PM
Y

The transfer is complete. The records are now available for your specialist.

Oct 29, 12:31 AM
M

Thanks for your help, I really appreciate it.

Oct 30, 7:26 AM